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Andthere00:05:09
Hey00:05:24
[Music]00:05:26
Good morning everyone, everyone, be very well00:05:29
Welcome, I'm teacher Stephanie00:05:30
here periodontics here on Strategy00:05:32
Competitions my goal today with you00:05:34
we ask a battery of questions00:05:36
commented and periodontics we are with00:05:39
many good opportunities for00:05:41
city halls we have proof of the Spirit00:05:43
Santo the Navy test in September00:05:45
We are already noticing a warming, right?00:05:47
In competitions, you can prevent yourself, okay?00:05:50
With that in mind, we'll do it then00:05:52
a large battery of questions00:05:55
our goal so we do00:05:58
222 question blocks are there00:06:01
From these questions we make a00:06:03
good review I selected the main ones00:06:05
content that is normally charged00:06:07
in the periodontics exams of the degree in00:06:11
Regarding the issue of city halls, we have00:06:13
many issues of the Armed Forces00:06:17
Air Force issues that I consider00:06:18
it is a very democratic bank so00:06:20
is that we can get an idea of the00:06:24
evidence that falls both in the Forces00:06:26
Armed as some some part of the00:06:29
try the city councils and introduce me00:06:33
My name is Estefânia I am00:06:35
specialist and master in periodontics00:06:37
my ordeal comes in 2016 in the competition00:06:40
Brazilian Navy since then I am00:06:42
Navy officer and I hope00:06:44
contribute so much to my knowledge00:06:46
in the area of periodontics and with the00:06:49
my experience with itching, right?00:06:51
a difficult period a good period is that00:06:54
we have to give up many00:06:56
things but at the end of the day everything is worth it00:06:58
It's worth it, okay guys, we're going to have00:07:00
interaction after I run the vignette on00:07:03
our chat because this work is recorded00:07:04
for our students, that's right, but00:07:07
any doubts any questions00:07:08
you can is00:07:10
as soon as I have a break I00:07:12
I try to respond as much as possible.00:07:16
Alright guys, let's get to the point00:07:17
we will start on our battery00:07:20
questions I just want to talk a little bit about00:07:21
a little bit of the evidence Now00:07:24
how it happened, we can see00:07:28
a trend we are a trend00:07:30
very large of the book in the link be00:07:31
charged unanimously is in the last00:07:34
times the book of carranza, right, that's me00:07:37
I'll tell you about our conceptual part, OK?00:07:38
right without talking about the surgical part00:07:40
Carlos' book he has been00:07:41
used a lot, I would also like00:07:43
Just emphasize to you guys that it's important00:07:45
we see our reference because if00:07:48
we suddenly respond according to what00:07:51
wrong author if our test Ask00:07:53
we have a big tendency there to00:07:55
making mistakes is carranza's last book00:07:58
beautiful edition they they are converging00:08:02
but we if there is a divergence00:08:03
bigger but now they seek to converge00:08:06
more more like that we can't say00:08:08
that they are00:08:09
and what they approach is 100 percent them00:08:12
have the same position, so just give one00:08:15
play for you because you don't let00:08:16
to see the reference being00:08:18
charged to respond promptly00:08:20
sure what what what the author what am I00:08:23
Telling the truth, right? We'll see00:08:25
as our class progresses,00:08:27
there are some differences and here I go00:08:28
point out for you to respond and00:08:31
don't miss the issue because00:08:32
that's all right guys I'm going to do the00:08:35
vignette I wish you an excellent00:08:36
classroom00:08:39
Andthere00:08:40
[Music]00:08:54
good00:08:55
So come on guys I'm going to put our00:08:58
first little question, it's a question00:08:59
of the Army00:09:02
2016 which says the following second00:09:06
2010 line after completing the00:09:08
tooth eruption at free gingival margin00:09:11
is located on the surface of the enamel00:09:13
about alternative 05 to 11 MM00:09:18
coronally to the cementoenamel junction00:09:20
letter B 05 to 01 apply increase the junction00:09:26
cemento-enamel00:09:27
alternatives and one and a half to 2 MM00:09:30
coronally to the cementoenamel junction00:09:33
and Alternative from 1mm to 2mm00:09:37
apically the cementoenamel junction00:09:41
our answer here on this issue00:09:42
Guys, it's the letter C, that's right here00:09:46
this number one and a half to two is a number00:09:49
which we usually end up making worse00:09:50
Okay, I'm just going to pull out a pen here.00:09:53
For us, these two are the number that00:09:56
we end up recording it because we00:09:57
cannot be confused here is the question of00:10:00
coronally with apically Okay00:10:03
If I say that this one is more beautiful00:10:06
from the gingival margin is 1mm to 2mm00:10:08
really transform I know he has00:10:10
a juice, right, we have an invagination00:10:12
there forming a juice if this is00:10:15
located one and a half to 2 MM apically00:10:18
we assume that if this00:10:22
tooth that needs a repair would not be in00:10:25
physiological conditions00:10:26
acceptable right so always remember00:10:29
that this one email at 2 mm is00:10:31
coronally and not apically to00:10:34
cementoenamel junction OK00:10:37
OK, so let's see what the00:10:39
Olímpia tells us according to Linde and00:10:42
collaborators 2018 the gingival margin00:10:45
free is rounded to the frequency of00:10:48
to form a small invagination or00:10:51
juice between tooth and gum after00:10:55
tooth eruption at free gingival margin00:10:57
is located on the surface of the enamel00:11:00
about 1mm to 2mm00:11:03
coronally to the cementoenamel junction00:11:06
So that was our template for00:11:08
first question00:11:10
Hello, following here guys, let's do a00:11:14
a little question from the 2015 Army00:11:17
beyond the evidence beyond the cells00:11:20
producers of being Tina the oral epithelium00:11:23
contains the following cell types00:11:26
according to Linde except activate fibroblasts00:11:30
alternative B melanocytes alternatives and00:11:34
Langer cells Alternative cells00:11:39
inflammatory00:11:40
here folks, the only cell that we00:11:42
can't you see what we see in the ligament00:11:45
periodontal are the fibroblasts, okay?00:11:47
Let's do a quick review here00:11:50
so we alternative that our00:11:52
answer key letter A Let's Make a Brief00:11:54
review of this type of cell phones that they00:11:56
they are very common to appear in evidence.00:11:59
OK, so let's go beyond the cells00:12:02
producers of being Tina who00:12:03
correspond to around ninety percent00:12:05
of the total cell population, it is observed00:12:09
that the epithelium also contains the following00:12:11
cellular types such as melanocytes that the00:12:14
we saw in our question there are the00:12:16
melanocytes they will be cells one00:12:19
pen here00:12:22
and pigment synthesizers Okay00:12:24
no00:12:28
It's surgery synthesizers00:12:31
pigments, okay, that was a matter of00:12:33
proof is beyond them asking the00:12:35
cell types I've heard questions where00:12:38
They asked what each one does00:12:40
of the cell types present in the00:12:42
epithelium Then take a printscreen of the00:12:45
screen there so you don't forget00:12:48
wow I got it So they are cells00:12:49
pigment synthesizers cells00:12:52
of langerhans they participate in00:12:55
defense mechanism of the oral mucosa is00:12:58
Merkel cells they seem to have00:13:01
sensory function, this has also been00:13:03
question of proof and in addition we have00:13:06
inflammatory cells00:13:09
and then we continue here guys00:13:15
It's more of a small question then00:13:17
army Let's play here for us to see00:13:20
according to Linde00:13:22
2010 according to its insertion and00:13:25
trajectory that the tissue follows00:13:28
oriented bundles of collagen fibers00:13:30
gingiva can be divided into00:13:34
following groups00:13:35
thealternative00:13:37
circular fibers fibers inside00:13:40
gingival fibers inside lost parents and00:13:43
transsexual fibers00:13:45
alternative B fibers within gingival00:13:49
fibers within periosteal TRANS fibers00:13:53
septal and reticular fibers00:13:55
alternative fibers and circular fibers00:14:00
inside periosteal fibers transcripts and00:14:04
elastic fibers00:14:06
Alternative to gingival fibers00:14:09
fibers within period the fibers00:14:12
reticular and elastic fibers00:14:16
Personally, our alternative is the00:14:19
Lyrics Ah, it's true that I'm not00:14:22
affirmative that the letter A I want to leave00:14:24
clear here for you the following00:14:26
notice that the white woman put her00:14:29
following reticular cell types and00:14:31
elastic and here again elastic ok00:14:34
what happens to the connective tissue00:14:37
right, it produces four types of fiber.00:14:41
right then it will produce the fibers00:14:43
collagen, reticular fibers,00:14:46
oxytalan fibers and fibers00:14:48
elastic00:14:50
within the collagen fibers is that the00:14:53
we will have00:14:55
classification according to insertion and00:14:57
trajectory then you noticed the00:14:59
white girl, here she is, she put it in three00:15:02
alternative fibers that are part of the00:15:05
gingival tissue but these fibers00:15:07
are not classified according to their00:15:10
insertion and trajectory Okay, so she00:15:14
sought to confuse the00:15:16
candidate and cause him to confuse and00:15:19
he marks it here, it's wrong, it's just00:15:21
for us to review, let's come back here00:15:24
and the connective tissue fibers00:15:27
are produced by broken bonds and00:15:29
They are divided into four types00:15:30
cell phones00:15:31
inside the collagen fibers, that's it00:15:35
that we have to record we have to00:15:37
EA division classification according to your00:15:40
insertion and trajectory And then we00:15:42
we will have circular fibers00:15:45
inside gingival or inside periodic or00:15:48
Inside pedestals and the fibers transcripts00:15:51
And here in this relationship with content it is00:15:54
common, it's not the first bank that00:15:56
he does this and inserts his00:15:59
fibers that are part of the fabric00:16:00
conjunctive but that they are not they are not00:16:04
are classified according to insertion and00:16:06
trajectory is personal so a lot00:16:08
Attention, print the screen, let's see00:16:10
Zinho function of each of them that00:16:12
also your exam question is sometimes00:16:13
so writing circulars are bundles of00:16:17
fibers arranged in the free gingiva and which00:16:20
surround ring-shaped tooth here00:16:22
for us to record these These functions00:16:25
here are her insertions Let's try00:16:27
record the right keywords00:16:29
so circular fibers we will00:16:31
try to record that they are in format00:16:33
ring the fibers inside gingival them00:16:36
are embedded in the cement in the portion00:16:39
supra-alveolar root from where it originates00:16:41
design in a fan shape here guys00:16:44
try to record here in the form of a fan00:16:46
the inside gums00:16:48
me and them go towards the fabric00:16:50
free gingival surfaces00:16:52
lingual and interproximal buccal00:16:55
next group of fibers which are the00:16:57
within periodic they are inserted00:16:59
in the same portion of the cement as the fibers00:17:02
inside the gums, but they will make the00:17:05
trajectory in apical direction00:17:08
and the bone crest is buccal and lingual00:17:11
that they end in the attached gum00:17:13
so inside Genival we go00:17:15
free and periodic inside the gum00:17:17
inserted and finally the transsexual fibers00:17:20
that they connect the cementum from within00:17:23
of adjacent teeth00:17:25
good00:17:26
so don't confuse one okay guys you are00:17:29
very common is a is a part that00:17:32
stalls charge a lot as are the daughters00:17:34
OK And it's very common for them to put00:17:35
really the other types of daughter and the00:17:38
see this mess00:17:41
and we're going to have our next question00:17:44
the issue of Aeronautics in 2018 is that00:17:47
says the following the area of the body in00:17:49
molar and premolar regions00:17:52
covered by an alternative fabric00:17:54
alternative connective B epithelial00:17:57
stratified with stratum corneum00:18:00
alternatives and stratified epithelial00:18:03
keratinized flooring and Alternative00:18:07
stratified squamous epithelial00:18:11
Slender non-keratinized ours00:18:15
answer here to the question is the alternative00:18:18
let's remember a little bit what00:18:20
the personal body area00:18:23
It’s so different from your front teeth.00:18:25
where we have a point of contact00:18:28
posterior teeth we have one00:18:29
contact surface that we can00:18:31
see that in this photo, in this case, the tooth00:18:33
It was removed but we don't have just one00:18:35
point of contact we have a00:18:37
surface the fact that there is00:18:39
surface he makes us have00:18:41
this area that we can see00:18:42
ecologically that the Coco area is this00:18:44
here it is in the photo below00:18:46
in the histological section there is this area of color00:18:50
it is covered by an epithelium00:18:52
laminated flooring00:18:54
Slender, non-keratinized, that's personal00:18:58
here it is very common to appear in the test and00:19:00
they put it like they put it here00:19:02
above it is as if it were as if00:19:04
was a keratinized epithelium or00:19:07
keratinized so don't forget the area of00:19:09
color it is covered by an epithelium not00:19:12
will be used00:19:18
the 2014 Army question the epithelium00:19:23
of the gum It is like the subdivided epidermis00:19:26
in multiple cell cell layers00:19:29
based on the degree of differentiation00:19:31
of Serafina-producing cells can00:19:34
be divided into cell layers00:19:36
respectively00:19:38
the spiny granular basal alternative and00:19:43
alternative B basal will be used00:19:47
spinosa granular and be used00:19:50
alternatives and spinous basal granulosa00:19:54
and be used as an alternative to basal00:19:58
prickly00:20:00
keratinized and granular our00:20:03
answer key here guys is the letter B, okay?00:20:06
all these cell types in these00:20:09
cell layers they are part of00:20:11
really from the epithelium, right?00:20:13
wow, you know what you asked for is based on00:20:17
degree of differentiation then we do not00:20:18
you can simply put anything00:20:21
of the alternatives that all of them00:20:23
Theoretically, they are part of the00:20:26
layers of the epithelium but it is00:20:29
asking here for us based on00:20:30
the degree of differentiation is then based00:20:34
in the degree of differentiation we have the00:20:35
correct alternative then is00:20:37
alternative B and we'll see Let's go00:20:39
Make a brief review of this00:20:41
subject too00:20:43
the Vunesp card is now from00:20:46
army of 2021 the differentiation of00:20:49
clicking and gingival she involves the process00:20:51
of keratinization that it consists of00:20:53
Progression of biochemical events and00:20:56
morphologies that occur in cells00:20:59
As they migrate from the00:21:01
basal layer a process of00:21:03
Complete keratinization leads to production00:21:06
of a superficial horny layer without00:21:08
cores00:21:09
in the stratum corneum and with a layer00:21:12
well-defined granulosa receiving the00:21:15
denomination of00:21:17
orthokeratinized air alternative00:21:20
alternative B non-keratinized00:21:22
alternative being and its keratinized00:21:26
Alternative for low keratinization or00:21:29
alternative and for keratinized when00:21:32
we have no nucleus in the stratum corneum00:21:35
right in the layer what is the layer00:21:37
keratinized this personal epithelium00:21:40
It's called orthokeratinized, okay?00:21:43
now if I have leftover core in this00:21:46
layer we will have an epithelium to00:21:48
keratinized this was issues is very00:21:51
This also happens frequently at00:21:53
newsstands make this mess anyway00:21:56
They ended up putting it in the alternatives00:21:58
It's without a core, right? And what is our core?00:22:01
our type of epithelium then00:22:03
remembering how I used to00:22:05
When I recorded this part I used the00:22:08
Next is the trick that could be00:22:11
serve you, it's without a core, so the00:22:14
that I didn't use00:22:17
and the word no00:22:19
and what is the last letter here of the year00:22:21
It's not so I used it then I00:22:24
I already put it that's it Horto00:22:26
keratinized This was the trick I00:22:28
I used it and if it has the core then00:22:31
she will be a para keratinized00:22:35
and I don't know if it would help you, but it is00:22:38
When I recorded it I recorded it this way00:22:40
I never forgot00:22:42
I'm going there guys, I'm going to do one00:22:44
brief review here within this00:22:46
content is reminiscent of oral epithelium00:22:49
It is stratified pavement and00:22:51
keratinized, it can be divided00:22:54
in the following cell layers is like the00:22:56
we saw in our question second degree00:22:58
of differentiation, so it's the basal layer00:23:01
which is also called stratum00:23:04
basal or germinal pus is common as well00:23:06
for newsstands to put this name here00:23:09
Inactive layer we have to know00:23:11
than the basal layer, spinous layer or00:23:14
stratum spinosum granulosa layer00:23:17
stratum granulosum and the layer00:23:19
keratinized which is also called00:23:21
Belina people question what they called00:23:22
of corneal extract, guys, what is the00:23:26
that we saw there when the student is not there00:23:28
nuclei in cell layers reminds of00:23:30
me there the o and the orthokeratinized ok00:23:33
when there is no nucleus in the layers00:23:35
external the epithelium is called00:23:37
orthokeratinized all the way with00:23:40
frequency right the cells of the layer00:23:41
cornea of the gingival epithelium they contain00:23:44
remains of nuclei And then they are00:23:46
called keratinized00:23:52
The00:23:54
next question we go to the question of00:23:57
Air Force question about cement00:23:59
It's the cement little question of 2020 you00:24:04
mind is a mineralized tissue00:24:05
specialist coating surfaces00:24:08
root00:24:09
There are different types of cement and00:24:12
among them we can mention cementum00:24:15
cellular intrinsic fibers let's00:24:19
underline what the alternative is00:24:20
whenever we are going to resolve a00:24:21
The issue is personal and can be defined00:24:25
like cement found00:24:27
alternative mainly in the portion00:24:30
cervical of non-personal teeth in00:24:34
cervical of the teeth we have the air00:24:35
cell phone00:24:37
or afibrillate00:24:39
in the apical third of the root with fibers00:24:42
personal intrinsic and extrinsic00:24:45
our our alternative they asked00:24:46
intrinsic fibers I couldn't even00:24:50
think about answering this question because00:24:52
that he is asking me intrinsically and00:24:53
extrinsic is the cement that presents in the00:24:57
apical third of the roots and during00:24:59
furca he is not the seed the cell phone00:25:02
intrinsic fibers, yes, it is the cementum00:25:04
stratified cell00:25:08
the mixto why is Milton because he00:25:10
has intensifying fiber AND extrinsic fiber00:25:13
OK00:25:14
alternative to be in the middle portion of the Root00:25:16
and account and contain Mainly the00:25:19
Sharpey's fibers here is another matter00:25:21
that if I know that Sharpey's fibers00:25:23
They are extrinsic fibers, right?00:25:26
I wouldn't even consider answering this00:25:28
the question is but this one he is the air00:25:31
cell phone00:25:33
It's fiber00:25:38
andextrinsic00:25:40
What is a correct alternative, right?00:25:43
he is asking what is the fiber cell phone00:25:46
officially the fiber cell phone00:25:47
intrinsic he is found00:25:49
mainly in reabsorption gaps00:25:52
and cementocytes are also found00:25:56
and let's review the topics like this00:25:59
of cement, which is an issue that has00:26:00
fallen normally than our jig00:26:02
here is an alternative for sure00:26:05
and let's see what, right?00:26:08
review here you explain has the screen00:26:09
we will carry out these types of cement00:26:13
the acellular cementum of extrinsic fibers00:26:16
it is found in the coronary portions00:26:19
Rayssa average00:26:21
o and contains mainly beam of00:26:24
Sharpey fibers which are the fibers00:26:26
experiences So the splinters are stretch marks00:26:27
It's in her name here, right?00:26:29
we will be acellular cementum of fibers00:26:32
extrinsic it connects the tooth to the bone00:26:35
alveolar proper It is formed00:26:37
concomitantly with the formation of the00:26:40
root dentin00:26:42
stratified cell seed i.e.00:26:45
present in the apical third of the roots and00:26:47
in areas of little it contains as much00:26:50
extrinsic and intrinsic fibers00:26:53
That's why he is considered a00:26:54
seed the stratified cell sixth00:26:56
just as instruments are formed00:26:59
throughout the functional period of the00:27:01
tooth00:27:02
seed cell of intrinsic fibers00:27:05
It is found mainly in00:27:06
resorption gaps00:27:08
and contain intrinsic fibers and00:27:11
segments and finally the acellular cementum00:27:14
afibrillate it will cover small00:27:17
areas of cervical enamel and it does not00:27:19
contains cells in collagen fibers and00:27:23
It also has an unknown function00:27:32
Andthere00:27:34
And here folks, this issue is important00:27:37
we observe Who is the author who00:27:38
he's asking, it's a little question of00:27:41
Navy 2018 let's see according to Linde00:27:44
and collaborators00:27:47
in 2010, root cementum is a tissue00:27:50
mineralized00:27:51
specialist coating surfaces00:27:53
roots on this tissue is correct00:27:57
state that the alternative contains vessels00:28:00
non-personal innervated EA blood00:28:02
contains blood vessels and is not innervated00:28:05
undergoes absorption remodeling00:28:07
lifelong physiological for Linde00:28:10
he does not undergo remodeling he does not suffer00:28:12
physiological reabsorption throughout life00:28:14
its mineral portion is formed00:28:17
mainly hydroxyapatite which00:28:19
corresponds to approximately00:28:21
65 percent of your weight for Linde this00:28:25
Here it is correct, ok then, wow00:28:26
alternative here is our template00:28:28
question is the letter C let's see00:28:31
his alternative in the apical third of00:28:33
roots and furcation areas is00:28:35
fiber cellular cementum present00:28:39
get into droughts, people, we00:28:41
You already saw the little question he gave, right?00:28:42
this seed to the cell phone and certified00:28:47
myth00:28:50
and the cement becomes considerably00:28:53
wider in the cervical portion, not here00:28:55
otherwise, folks, it becomes more00:28:57
wide in the apical portion our template00:29:00
here is alternative c00:29:02
I thought one here guys that we00:29:04
replied as the link says because00:29:07
mine is my question asked so that00:29:09
I responded according to Linde about the00:29:11
olindio carranza cement he has some00:29:13
divergences so I posted it here on00:29:15
our next slide then you arrest00:29:18
the screen too so there is no confusion00:29:20
because if my white girl had00:29:21
asked as I frown00:29:22
Could you respond as per the link?00:29:24
because they have differences in this00:29:26
In this regard, it is beyond a00:29:28
cement00:29:29
does not contain blood and lymphatic vessels00:29:32
has no innervation and does not suffer00:29:34
physiological reabsorption remodeling however00:29:37
It is characterized by the formation00:29:39
continuous throughout life this here for00:29:42
beautiful now already frowning that Nilma and00:29:44
collaborators he suggests that he to a00:29:46
reabsorption So if this question had00:29:49
asked me according to the frown I00:29:51
I should have responded, wouldn't that be it?00:29:53
my correct answer the question would be00:29:55
different but I couldn't answer00:29:56
saying that he is not that he is in the case00:30:00
there would be no reabsorption00:30:02
life because Carlos considers that00:30:05
it is a reduction in its mineral portion00:30:08
formed mainly from hydroxyapatite00:30:09
which corresponds approximately00:30:12
65 percent of your weight this is00:30:14
for me to type00:30:16
and for none and collaborators the00:30:18
carranza the mineral portion would be 45 to00:30:22
60 percent00:30:23
once again guys, look what's up00:30:27
being charged What is the reference, right?00:30:29
of proof that we can make mistakes00:30:31
a question out of nonsense00:30:33
consider the author wrong Okay then00:30:36
That's why I asked this question00:30:37
catch your attention in many00:30:39
proof doesn't happen, that's right, but if00:30:43
If it happens, notice and see and00:30:46
answer according to the correct author00:30:50
and let's see the mass the next question00:30:52
then bank00:30:55
mts-2019 City Hall of Bom Resto Minas00:30:59
General test for dental surgeon00:31:02
and furcation lesions are classified00:31:05
according to the degree of commitment00:31:06
in the gallows area in00:31:09
first item grade one loss of support00:31:12
horizontal that does not exceed one third00:31:14
of the extent of the Fuga grade two area00:31:16
loss of horizontal support that00:31:19
exceeds a third of the area's extension00:31:21
from strength grade 3 loss of support00:31:24
horizontal that exceeds two thirds of the00:31:27
extent of the seal's area, mark the00:31:29
correct alternative so let's go00:31:31
first personal item is right grade one00:31:33
It's true loss of horizontal support that00:31:36
does not exceed a third of the length of the00:31:38
gallows degree two loss of support00:31:41
horizontal that exceeds a third of the00:31:44
extension of the gallows area now grade 300:31:46
It wasn't wrong, right?00:31:49
wrong, sorry, grade 3 guys is escape00:31:52
side by side00:31:55
Ah, this classification is the classification00:31:58
from hampi, you have to take it into consideration00:32:01
3rd of Beetle we will see what it has00:32:04
another rating you00:32:05
classification of Um what is in the00:32:06
lindy's book the car in which he puts the00:32:08
classification00:32:10
and the car places the classification of00:32:12
glickman that we have, we take it into00:32:14
consideration are four degrees of furcation to00:32:16
We'll review it too, okay?00:32:17
so just so we don't forget00:32:21
the classification here and here is wrong00:32:25
because it exceeds two thirds for more00:32:27
which actually surpasses these two ter00:32:29
these the classification actually says is that it is00:32:31
side by side is our template00:32:33
letter B because only items 1 and 2 are00:32:35
correct, item 3 is not correct, okay?00:32:38
so let's see here I put it here for00:32:40
we review classification for the00:32:42
furcation involvement according to Ramp00:32:44
Remembering Ramp is in Lindy's book00:32:48
Hi, is it class or horizontal loss of00:32:51
non-series one support fabrics00:32:53
third of tooth width Class 2 loss00:32:57
horizontal of the support fabrics that00:32:58
it exceeds one third of the width of the tooth00:33:01
but it does not cover the entire width of this00:33:04
little and grade 3 which is what he put00:33:07
wrong00:33:08
the alternative is horizontal destruction00:33:11
from one side to the other, so what00:33:14
he put it here, the white one is beyond00:33:16
two thirds of the length for more than00:33:18
Clean that can overtake it is not there00:33:19
on the side is00:33:21
good then that's why our grade 300:33:23
there it was wrong this is the classification00:33:25
according to rap00:33:28
and the classification that a book of00:33:30
carranza usa nexus no collaborators00:33:32
use is that is the classification of00:33:34
glitter kill her in the rankings00:33:36
a little more complex who wants to give00:33:38
take a look and even we don't00:33:40
There's a lot of time here to put00:33:42
everything but this classification came out00:33:44
our PDF but it is also in the book00:33:46
New killed carranza00:33:48
Hi, and there are figures there, anyway, she is one00:33:50
classification that she takes a little00:33:53
The most complex thing to take into consideration is00:33:56
will double 1 to degree 4 will give a00:33:58
revised in which brief in the Degree is the00:34:01
incipient stage or early severe00:34:03
this name here because it might help00:34:06
much time to resolve issues00:34:07
that he if they put remember00:34:09
According to Lima, it is with a bag for00:34:13
bone and affects the soft tissue loss00:34:16
bone may have occurred with the increase in00:34:19
probing depth and normally00:34:21
no changes found00:34:22
radiographic This is the climate they consider00:34:25
as a degree, already degree two, it can affect00:34:28
one or more of the same tooth at a00:34:31
defined horizontal loss is already what the00:34:32
we don't have the degree, it's a part of the00:34:35
alveolar bone remains attached00:34:37
mode there is no communication between multiple00:34:40
grade 3 defects the bone is not attached00:34:44
in the ceiling region00:34:47
hangman and there may be soft tissue00:34:50
to fill the openings like I have00:34:51
This soft tissue isn't filling00:34:53
opening I may not be able to, right?00:34:55
that the probe cannot do it, right?00:34:58
moment the probe right times it can be00:35:00
that she can't pass00:35:02
completely through this force and00:35:05
last grade 4 the interdental bone was00:35:08
destroyed and the soft tissues have retracted00:35:10
currently that's what we have here, that's it00:35:12
in grade 3 fabric moments Manda he can00:35:14
to be covering this area we do not00:35:16
can you do a survey00:35:17
complete, right through this little but then00:35:20
in grade 4 we will see that we already have00:35:22
this destruction of soft tissues and they00:35:25
leave the opening clinically visible and00:35:26
the probe it easily occupies it passes00:35:30
about00:35:32
and again guys notice00:35:35
Who is the author? Which author is this?00:35:37
being asked the question of are you00:35:40
that we see is suddenly the white one00:35:42
can you put the rating00:35:44
flu but put 3° it can put the00:35:47
classification according to Ramp and place00:35:50
is four degrees in order to confuse the00:35:52
candidate we will see here at na00:35:54
next question and how it happens sometimes00:35:56
let's come back here let's resolve our issue00:35:59
next question00:36:03
and it is a question of the 2016 Navy the00:36:07
therapy method proposed by Vinde a00:36:10
we can understand that who is who is00:36:13
Being requested, right? This is the free book.00:36:16
so here on top of mine00:36:18
alternatives I have to focus on00:36:20
one two and three which is normally this is00:36:24
currently is what the classification is00:36:26
How beautiful you use it, right? What is the classification?00:36:29
from hampi so in my question after00:36:31
eliminate the house in the alternatives have00:36:33
As we see here in China, I already00:36:35
I can delete it because the link tells me00:36:37
of three types of00:36:39
furcation defect is continuing00:36:42
includes furcation plasty is indicated00:36:44
to what degrees of involvement of00:36:46
little alternative grade 1 and 2 alternative00:36:50
B grade 1 and 3 alternatively be grade two and00:36:53
three Grade 3 and 4 alternative and00:36:57
alternative and grades 2 and 4 is what I00:37:00
I told people that we could00:37:01
eliminate d and E why why00:37:04
again the beauty he uses00:37:07
rap rating00:37:09
There's only 3rd, what's the alternative?00:37:12
correct here as correct alternative is00:37:15
the alternative00:37:17
my approaches or the approaches of00:37:20
treatment here in accordance with the purpose of00:37:23
recommends it to be gradual, okay?00:37:26
I put it here so we can make one00:37:27
little review00:37:29
he usually does one, right?00:37:32
as the escape goes00:37:33
increasing according to our defect00:37:35
As he increases, he puts one00:37:37
treatment approach that is not as00:37:39
conservative right so let's see00:37:41
different therapy method are00:37:43
recommended according to the00:37:45
commitment of the element being to00:37:47
degree force, it's a force in00:37:50
Theoretically beginner Initial scraping00:37:53
and root planing and sealplasty00:37:55
He asked me there regarding the plasty issue00:37:57
seal grade a little to grade two plasty00:38:01
by force here we have already killed the issue00:38:03
there is grade 1 and grade 200:38:05
tunneling root reception extraction00:38:09
Guided tissue regeneration in00:38:12
lower molars this Regeneration and00:38:14
Ada, it's mainly in the molars00:38:17
inferior due to the defect that is a00:38:18
defect that it is predisposes us00:38:22
has a better result that's why he00:38:23
places lower molars and now at least00:38:25
degree involvement because it is degree 3 that00:38:27
the one to line side by side the00:38:29
recommended room tunneling methods00:38:31
root reception AND tooth extraction00:38:42
and this personal issue that we will00:38:44
come now I put for those00:38:45
people who are not very familiar00:38:46
with the processes for the instruments00:38:48
Surgical procedures are not common and there are people00:38:51
who undergo surgery, there are people who stay longer00:38:53
in other areas but this is not uncommon00:38:55
we look at issues like this00:38:57
So the candidate is situated, right?00:39:00
is very familiar with the part00:39:01
surgery that you are not very used to00:39:03
dealing with surgical instruments is00:39:05
interesting for you to record the figures00:39:06
of books, because here we go00:39:08
see this little issue that was a00:39:10
little question about Vunesp 2019 here from00:39:13
Morro Agudo a test for specialist00:39:15
for periodontal surgical procedures to00:39:18
correct choice of scalpel blade00:39:19
for the proposed procedure is00:39:22
fundamental importance00:39:24
and the disposable blades below00:39:27
left to right are the numbers00:39:29
So guys, what's our alternative?00:39:31
would be the alternative00:39:33
2212 Delta 1200:39:37
1215 c e 15 alternative B 22 12 of 12 1500:39:44
and 15 cê alternative be 11 15 15 cê00:39:50
12:12 alternative of 11 12 12 of 15 and00:39:57
15 cê and alternative and eleven twelve of00:40:01
1215 c and 15 here guys is ours00:40:05
our disable is the lyrics of this00:40:07
figure she is the same figure that is00:40:09
in the toast book this is what it was00:40:11
taken from lindy's book so just the00:40:13
candidate who doesn't have much00:40:14
familiarity with the surgical part, right?00:40:16
doesn't stop00:40:18
take a look at these figures that00:40:21
address the instrumentals as well as the00:40:23
instrumentals and non-instrumentals00:40:25
surgical Why does it just happen00:40:27
the bank extracted this photo and posted it00:40:31
see if the candidate knows I don't00:40:33
identify what types of blades00:40:35
that are present here in this figure,00:40:38
then we observe that there are 1100:40:40
where is she, her taste vertically00:40:44
12 to 12 of them have differences, it's not one00:40:47
modification to 12 Delta of blade 12 and00:40:50
at 15 EA 15c these last ones here then00:40:53
Guys, don't forget to take a look00:40:55
So in case you are not familiar00:40:57
with the types of blades, it's not the00:40:59
first question that appears this is a00:41:01
test for Vunesp banking specialist00:41:03
here in Morro Agudo00:41:07
smoking00:41:09
smoking diabetes risk factors00:41:12
then for periodontal diseases it falls00:41:14
many other topics that have fallen00:41:16
quite It is the psychosocial stress that00:41:18
It's on the rise but it's also falling now00:41:20
there is no way to go to the personal test without00:41:22
Know the basics of smoking and diabetes00:41:25
because this is the right question, no00:41:27
How can we not know if items that00:41:30
here are some questions00:41:31
for us content review00:41:34
I was there to work on Náutico 201800:41:37
smoking is considered an important00:41:39
risk factor for periodontal disease00:41:41
It can be said that one of the00:41:43
characteristics of tobacco influence00:41:45
in inflammatory periodontal disease is that00:41:47
alternative to the same prevalence of00:41:50
necrotizing ulcerative gingivitis in00:41:52
smoking and non-smoking is not personal00:41:55
There is not00:41:58
and we know that smoking is a00:42:00
super important risk factor00:42:02
As a rule, all periodontal disease is00:42:04
will be more severe in patients00:42:06
smokers, right? Because of00:42:09
cigarette it will cause a change00:42:11
in this patient in this patient's response00:42:13
patient he will have a disease00:42:15
periodontal exacerbation in general00:42:17
so if I compare a smoker or not00:42:19
smoker there is no way I can say that the00:42:21
smoker, he has one, right?00:42:24
prevalence of periodontal diseases00:42:27
we're going to be right00:42:29
alternative B, smokers present00:42:32
a greater amount of gingival fluid00:42:35
during the development of gingivitis00:42:36
It's not personal here the smoker has a00:42:40
less amount of gingival fluid00:42:42
during the development of gingivitis00:42:48
and smokers have a number00:42:50
reduced leukocytes therefore less00:42:53
cells migrate to the bursa groove00:42:56
periodontal correct, this is correct00:42:58
right guys, he really has the00:43:00
smokers have a reduced number of00:43:02
leukocytes are so fewer cells will00:43:04
arrive at that location to combat the00:43:06
our our periodontal disease00:43:09
smokers have more clinical signs00:43:12
of inflammation such as bleeding00:43:14
sounding and sounding depth00:43:15
altered compared to non-smokers00:43:18
right guys, whoever runs the clinic knows00:43:21
that smokers normally have00:43:23
a periodontium does not bleed00:43:27
Normally we don't look sometimes00:43:28
seems like something healthy depending on the00:43:30
Clinical level of insertion there of the loss00:43:32
of insertion that the patient has Sometimes00:43:34
the patient smokes and we observe that00:43:36
he is, right, he has those gums that00:43:38
it doesn't bleed because it has a00:43:40
Vasoconstriction is caused by smoking00:43:42
and therefore clinical signs of inflammation00:43:44
they are actually less pronounced00:43:47
in patients with and00:43:49
let us know that there is more00:43:51
probing depth00:43:52
It certainly is And besides the biggest loss00:43:57
right insertion00:43:59
And so our template here is the letter c00:44:07
The00:44:08
next question here guys 2017 us00:44:11
we had a reclassification of diseases00:44:14
periodontals Okay, so as soon as the00:44:16
We have it in our base books, right?00:44:19
from the conceptual part that you frown on00:44:21
Indy we still don't have the00:44:23
new classification, right?00:44:24
of New classification classification Hence00:44:26
I learned in 2017 so it may be that the00:44:29
proofs even though they will charge so much00:44:31
the old classification regarding class00:44:34
99, right about the current classification00:44:36
click to make it clear Here is here in this00:44:39
issue of Aeronautics that was 2019 he00:44:41
Are you asking about periodontitis?00:44:42
aggressive in the new classification of00:44:45
periodontal diseases and periodontitis00:44:47
aggressive she no longer exists I want00:44:49
count chronic and aggressive ok she was00:44:51
unified they only exist within a00:44:52
group called periodontitis has some00:44:55
Maybe in your test they ask you00:44:57
according to the classification of 99 is the00:44:59
we will respond and new alternative00:45:01
have aggressive and chronic periodontitis00:45:04
It may be that she comes into compliance with the00:45:07
our statement of the question in accordance with00:45:09
Let the question ask now if she asks00:45:12
According to the 2017 classification, we00:45:14
no longer have chronic parodontitis and00:45:16
aggressive in isolated groups Okay00:45:18
So we can't answer00:45:19
as per the new classification, no00:45:23
can respond to the chronic mount and00:45:25
aggressive is how we are at this stage00:45:28
the authors are still in transition Beautiful00:45:30
from home They didn't put it in the books You can00:45:33
unless we have the classification00:45:34
old may still be what they say00:45:36
in addition to aggressive periodontitis or because00:45:38
It's there in the books, right?00:45:40
questions can still address this00:45:42
content that's why I brought us00:45:44
You have to know that there will be a period of00:45:46
transition there until it actually hits the newsstands00:45:48
she doesn't eliminate from pearl otitis00:45:52
aggressive and chronic parodontitis, I have00:45:54
pay close attention to this00:45:56
It is00:45:57
So far we haven't. It could be that00:46:00
drop questions I just want to make it clear00:46:02
that the stone doesn't attack you, it doesn't00:46:05
part, right? as an isolated group of the00:46:08
new classification of 2017 this question00:46:12
of the Air Force00:46:14
2019 is worth fighting aggressively00:46:17
Generalized is a serious form of the disease00:46:20
inflammatory periodontal disease that presents00:46:22
some important features for00:46:24
the correct identification of the disease00:46:26
Early diagnosis is essential for the00:46:29
establishment of the treatment plan and00:46:31
determining the prognosis Which of the00:46:33
alternatives below presents a00:46:35
characteristic of periodontitis here00:46:37
widespread reminding diseases00:46:40
aggressive periodontal disease00:46:43
forgiveness00:46:44
and there are two types00:46:48
islocated00:46:51
And then generalized is about what it is00:46:54
white asked, she asked for general, okay?00:46:57
sufficient antibody response00:46:59
serum against infectious agents00:47:03
It's not personal, we have this00:47:05
here enough in periodontitis00:47:08
localized aggressive00:47:11
the pronounced episodic nature of00:47:13
destruction of alveolar bone insertion00:47:15
That's right, this is part of the skin00:47:18
Generalized aggressive tititis00:47:21
higher incidence in people under00:47:23
20 years as it does not affect elderly people older than00:47:26
age whenever we have here, no00:47:28
It is00:47:30
So active things, right? We have to00:47:33
keep an eye on this issue00:47:35
alternative right because it can happen00:47:37
It's not normal but this could be where00:47:40
this happens, but here normally the00:47:43
incidence in people under 30 years of age00:47:46
The00:47:47
Affected interproximal attachment loss00:47:50
at least 2 permanent teeth00:47:52
including the incisors and first00:47:54
molars that asked for generalized ok00:47:56
because the characteristic at least 200:47:58
teeth of the Umtiti Pearl located in the00:48:01
party we will see on the slide here00:48:03
that I reviewed this content00:48:04
that our feedback here00:48:07
alternative B00:48:09
Good00:48:11
Let's go and review periodontitis00:48:15
localized aggressive00:48:16
circumpubertal involvement00:48:18
presentation will be located at00:48:21
first molars neighborhood incisors with00:48:22
loss of interproximal attachment in fur00:48:25
least two permanent teeth, one being00:48:28
of them the first there involving no more00:48:30
than 2 teeth beyond the first molars00:48:33
And incisively what we saw there once00:48:35
strong serum antibody response00:48:37
to infectious agents this tightens a00:48:40
localized aggressive chat00:48:44
It is generalized generally affects people00:48:46
under 30 years of age then what the00:48:49
we saw the issue but the patients are00:48:52
the issue there may be older00:48:53
stated that it cannot be done when we00:48:55
he puts it here she can't rate it like that00:48:57
She, right, she puts it in a very00:49:00
taxing we have to pay attention00:49:01
In this alternative, it is generally00:49:03
less than 30 years old but she doesn't00:49:05
patients may be older at all00:49:07
prevents him from being a little older00:49:08
now it's her insertion loss00:49:11
widespread affecting at least three00:49:13
teeth00:49:15
three teeth in addition to the first molars and00:49:18
of the incisors we saw in the question00:49:20
right, that was correct, episodic nature00:49:22
pronounced destruction of insertion and00:49:24
of the alveolar bone and the answer is00:49:26
insufficient00:49:28
of serum antibodies, the agents00:49:30
infective little question of periodontitis00:49:33
aggressive tends to fall a lot, it's still okay00:49:36
Even though she doesn't have us anymore in the new00:49:39
rating drops a lot and00:49:42
Andthere00:49:44
and now let's see here is a question00:49:46
There was Deserta that the Vunesp bank is00:49:49
Localized aggressive periodontitis is00:49:51
associated with a high prevalence of00:49:53
pathogens of the pathogen Forgiveness00:49:56
It is in this SP aggregatibacter00:49:59
actinomycetemcomitans00:50:00
high00:50:02
actinomyces naeslundii00:50:04
see it in her pavura streptococcus mitis00:50:07
What would be our alternative here?00:50:09
guys, we alternative the letter B right a00:50:12
aggressive periodontitis localized to00:50:14
we have a predominance of00:50:15
aggregatibacter actinomycetemcomitans is00:50:19
And she looks like this, right? This pathogen looks like00:50:22
for gifts in all locations were00:50:23
aggressive ti located him then him00:50:26
I accept it as our main thing is00:50:29
etiological agent in the majority but not00:50:32
all of the not all cases of the empire00:50:35
during aggressive to generalized00:50:36
then he is more he is accepted as a00:50:38
period is common for the gift one00:50:41
microorganism is predominant in00:50:44
localized aggressive periodontitis, right?00:50:46
not in all cases of widespread and00:50:49
the aggregatibacter actinomycetemcomitans00:50:52
It's a question of 2011 is it still charging00:50:55
aggressive parodontitis00:51:00
Okay, let's go next question00:51:03
this part of00:51:06
hyperplasia that we will now see in00:51:08
personal medication issue falls00:51:10
Too much, I saw a lot, I selected one00:51:12
a question there yes All newsstands00:51:14
they normally charge this increase folks00:51:16
Come back, we're going to come here now00:51:18
certain test of Aeronautics 2020 a00:51:21
surprising amount of medicines00:51:23
for the relief of human diseases law00:51:25
good observation of new effects00:51:27
collaterals in the oral cavity within the00:51:29
drugs that can cause an increase in00:51:32
gingival volume are let's go00:51:34
alternative channel blockers00:51:36
sodium00:51:37
antidepressants and antiretrovirals here00:51:40
Guys, the bank did well00:51:43
and she was really naughty here, right?00:51:45
sodium channel blockers this here00:51:48
she did to confuse the candidate00:51:49
sodium channel blockers are the00:51:50
antiarrhythmics antiarrhythmics So it's00:51:54
I don't have ductus hyperplasia00:51:56
sodium I have hyperplasia with a00:51:57
calcium channel ok so she did this00:51:59
confusion here to see if she catches the00:52:01
that since she didn't put one00:52:03
alternative she put in some00:52:05
antidepressants and antiretrovirals are not00:52:08
a printer light like this00:52:10
steroidal anti-inflammatory drugs are not00:52:12
alternative antihypertensives00:52:15
channel blocker anticoagulants00:52:17
sodium and antihistamines go sodium here00:52:19
again and I have active that it is the00:52:21
our template00:52:22
channel blocker anticonvulsants00:52:24
calcium and immunosuppressants, then00:52:28
Don't forget here that it is calcium and not00:52:30
sodium the bank did this with the intention of00:52:32
confuse the candidate because the00:52:34
competitive he is he is hasty he is already00:52:36
I saw a blocker there, he already wants it00:52:39
Do you want to put it, okay, then let's have it00:52:41
Pay attention here, it's a channel blocker00:52:43
of calcium, then our answer sheet00:52:45
D Let's do a review sometimes, okay?00:52:48
Guys, she has been asking so much for the type of00:52:50
medicine when asking for the name only00:52:52
I put it here, I've seen questions that00:52:54
for example, they asked to stay00:52:56
phenytoin or lose some type of00:52:59
the name of the medication is then00:53:00
interesting for us to know both00:53:02
increase you have well differentiated by00:53:04
pharmaceuticals so he is mainly00:53:06
associated with anticonvulsants, there is00:53:09
We have phenytoin sodium valproate00:53:12
to suppressive immunosuppressants00:53:15
cyclosporine and blocking agents00:53:17
calcium channel here guys calcium00:53:20
Remembering the calcium channel and not00:53:22
sodium channel has made me Pina and Vera00:53:25
for a thousand00:53:32
and here again asking to give a kit00:53:35
Chronicle is Remembering no longer exists00:53:38
this this isolated group in the new00:53:40
classification But it is a question here of00:53:42
2019 still charged Maybe so00:53:45
charged this will still use this00:53:47
recurring will appear00:53:49
The 2019 Aeronautics question analysis00:53:53
the following statements about the00:53:55
pearls chronic otitis the mild form of00:53:58
disease presents 1 to 2 MM loss of00:54:01
Clinical insertion, light form, right00:54:05
localized form00:54:07
presents less than thirty percent of00:54:10
sites affected by periodontal disease00:54:12
also sure, less than 3000:54:15
localized local factors and diseases00:54:18
systemic influences on00:54:21
This form of periodontitis is correct, right?00:54:23
personal local factors diseases00:54:25
systemic issues, not smoking, his diabetes00:54:28
has an influence on this form of00:54:30
periodontitis thus generally present00:54:33
progression rates00:54:35
slow and moderate disease rarely a00:54:38
rapid progression rate is ok00:54:40
Rarely may she have but00:54:42
This is rare, so our template00:54:44
here they are that right all00:54:46
alternatives00:54:50
our answer sheet letter D are all00:54:53
Alright let's review the main points00:54:54
here it is about chronic periodontitis00:54:58
classified in localized When least00:55:02
thirty percent of the sites are00:55:03
affected and widespread when this00:55:06
thirty percent book it is exceeded00:55:08
then the gravity of what we saw there00:55:10
on the issue of chronic periodontitis in00:55:12
site level it can be classified00:55:15
Based on the level of degree of loss of00:55:17
Light insertion that's what the question00:55:19
asked for a two millimeter moderate00:55:21
when I have 3 to 4 MM and it's serious00:55:24
when I have more than 5 mm Remembering00:55:26
that the systemic issues here00:55:28
understand the influence of smoking00:55:31
diabetes they can change the degree in them00:55:34
they can also modify this00:55:36
chronic periodontal disease00:55:43
and now that a little question from 201800:55:46
talking about insertion loss let's00:55:48
see aeronautics 2018 the loss of insertion00:55:51
it is a component it is an important piece of data00:55:54
Periodontal clinic it can be measured00:55:57
by the distance between the epithelium00:55:59
junctional EA personal gingival margin00:56:01
junctional epithelium that we see are00:56:03
logically I can see what00:56:04
I want junctional doing a survey, no00:56:07
right, so here we are going to eliminate the00:56:10
cementoenamel junction to gingival margin00:56:11
if I if I put a probe there in00:56:14
cement-enamel junction goes to mine00:56:16
gingival margin I will have the level of00:56:18
insertion, no, loss of extension, no00:56:21
I can go there, right when am I going to do it?00:56:24
a measurement from the cementoenamel junction to00:56:26
my margin I can see if I have00:56:27
a retraction or if I have one00:56:29
hyperplasia, right, I can do the most00:56:31
this calculation now insertion loss does not00:56:33
there is a gingival margin and the bottom of the pocket00:56:36
periodontal, not personal, he's me00:56:38
asking here for insertion loss if I00:56:41
measure the gingival margin00:56:43
and this bag I will have mine00:56:44
depth00:56:46
is welding00:56:52
and now the cemento-enamel junction to the00:56:55
bottom of the periodontal pocket groove00:56:57
I'm sure my answer is that the lyrics00:56:59
Usually people are in doubt00:57:01
between this one here if I make the measurement00:57:03
from the shore, from that shore, to the bottom of the00:57:05
scholarship I will have how long to poll00:57:07
but not necessarily how much I asked for00:57:09
right when I have insertion loss00:57:10
clinic for this I have to have one00:57:12
fixed point that the cementoenamel junction00:57:14
And then I have my measure of loss00:57:18
insertion template then in our00:57:20
question letter d00:57:25
the other subject that there is a lot is00:57:27
personal diabetes test from the Air Force00:57:29
201900:57:31
the patient with diabetes mellitus are00:57:33
subject to various changes in00:57:35
oral microbiota among such changes00:57:37
individuals with this disease can00:57:40
present a greater predominance of00:57:42
letter e paste letter B porphyromonas00:57:45
gingivalis letters and Candida albicans and00:57:48
aggregatibacter lyrics00:57:50
actinomycetemcomitans00:57:51
staff, patients with00:57:53
diabetes normally the patient00:57:55
decompensated diabetic he has a00:57:58
greater predominance of Cândido de00:58:00
candidiasis is that Candida albicans is00:58:03
caused by the fungus Candida albicans00:58:04
it has a greater predominance due to00:58:07
to the changes that occur in the patient00:58:09
compensated diabetic, so it's a lot00:58:11
common Candida albicans here is ours00:58:13
template00:58:17
It's another one about diabetes too00:58:20
it rains in the test, like I said before00:58:21
diabetes rises in exchange for us 2019 in00:58:24
relation to the individual's tissue response00:58:26
diabetics a Consider the following00:58:29
affirmative, there is an increase in00:58:31
collagenase activity from00:58:34
polymorphus nuclear neutrophils00:58:37
Alright guys I got a raise00:58:39
collagenase activity collagenase she00:58:40
it will cause collagen degradation then00:58:43
in decompensated diabetic patients00:58:44
mainly we will have a greater00:58:47
predominance in greater degradation of the00:58:49
collagen the gingival fluid presents00:58:51
higher prostaglandin E2 levels00:58:54
interleukin-1 correct also guys00:58:57
next big one, right two and interleukin00:58:59
1 They are pro-inflammatory cytokines00:59:02
that they are exacerbated in patients00:59:04
diabetics too, so we will have00:59:06
automatically a higher level, right?00:59:11
fluid of the tests of the general00:59:13
pro-inflammatory cytokines and in general00:59:15
here in the case she is asking here00:59:17
the great law two of understood but the00:59:20
we will see an increase in proliferation00:59:22
growth and synthesis of Matrix by00:59:24
periodontal ligament fibroblasts here00:59:27
It's not personal if we have it00:59:29
in addition to greater activity in the00:59:31
collagenase to break down the00:59:32
collagen we will have a decrease00:59:34
of the synthesis of this Matrix is also then00:59:37
here is a decrease this item is not00:59:39
right it's a lot like that I think what00:59:41
more falls, right, when in general when they00:59:44
talk about diabetic patients00:59:46
this relationship I put some00:59:48
questions that we fix Okay, but this one00:59:50
collagen care relationship it is00:59:51
highly charged in proof of increase in00:59:54
degradation so I put some00:59:55
questions in our classes here for us00:59:58
sediment this part well, reducing the01:00:01
chemotaxis of the estate of01:00:03
polymorphonuclear neutrophils Correct01:00:05
This is correct here, so our01:00:07
answer key here is the letter B because our01:00:11
there are three, that one is wrong because the01:00:12
we do not have an increase in proliferation01:00:14
growth in synthesis and without us we have01:00:16
a decrease in your password and01:00:19
periodontal ligament fibroblasts01:00:29
Firefighters test 201601:00:32
recently firefighters Federal District01:00:35
periodontics specialist recently01:00:37
several clinical studies show the01:00:39
existing relationship between disease01:00:40
periodontal and stress like I said01:00:43
personal psychosocial stress01:00:46
they they are very high, okay so he01:00:49
has been falling quite often and I01:00:51
what he is asking here in this context is01:00:53
correct to say that01:00:55
hello, what have I had the three psychosocial01:00:58
it did not influence the immune system01:01:02
right guys, he has an influence01:01:03
on the immune system stress01:01:05
psychosocial then the type is wrong here01:01:08
of stress that leads to the destruction of the01:01:10
periodontal destruction is the acute is not the01:01:14
person doesn't have acute stress and then I01:01:16
I'm already going to have periodontal disease01:01:18
There we even have a relationship between01:01:20
with your will waiting on the cross before01:01:21
But overall here is not a peak01:01:24
acute stress that will cause me a01:01:25
periodontal problem is01:01:27
the rhinestone takes to the hills in absence01:01:30
of periodontal pathogens not stress01:01:33
he can cause a change, okay?01:01:36
He can walls for that guy one01:01:38
to greater periodontal destruction01:01:41
I want the presence of the periodontium, right?01:01:44
remains an etiological factor01:01:46
main and our alternative gave the01:01:49
Stress increases cortisol production01:01:51
which will suppress the activity of01:01:53
neutrophils Okay, I remember01:01:56
normally due to chronic stress, right?01:01:58
will cause periodontal problems And then01:02:01
with stress we have an increase in01:02:02
production of cortisol and we will have01:02:04
a suppression will not suppress the01:02:06
neutrophil activity and we can01:02:08
From then on there is a series of01:02:10
develop a series of pathologies01:02:12
Including associated periodontal disease01:02:14
remembering the three chronicles01:02:22
our answer sheet letter b01:02:24
and now brushing01:02:27
the doll test from City Hall01:02:29
Atibaia the brushing technique performed01:02:31
with circular movements most commonly01:02:34
used for children and patients with01:02:36
loss of motor coordination due to his01:02:38
simplicity is the alternative technique01:02:42
a the alternative Bass technique b a01:02:45
alternative charter technique and01:02:48
technique of this an alternative technique01:02:52
of headphones and alternative and this is a01:02:55
modified you only with the exception here of01:02:58
phone technique, right? That technique01:03:00
of the little ball where we are going to do the01:03:02
hygiene of the sky inside the jaw as01:03:03
in the jaw with circular movements01:03:05
I cannot indicate, for example, a01:03:08
Bass technique or a bass technique01:03:10
charters that the patient will have to go01:03:12
there brush make movements01:03:13
anteroposterior, there is no such01:03:16
possibility is then why the01:03:18
patients who have some loss of01:03:20
coordination in children we will01:03:22
let them do Regeneration01:03:24
through the ball technique here it is01:03:26
easier Remembering the technique of01:03:28
headphones she with01:03:30
she with his mother the jaw in conclusion01:03:33
It's not open, we'll sanitize it01:03:35
maxilla and mandible with movements01:03:37
circular so here our template is01:03:40
the technique that the Alternative technique01:03:43
that headphones, right? It's a more01:03:45
easy than Remembering that all these here01:03:47
we have a brush angle01:03:49
we have a vibratory movement so01:03:50
There is no technique that I will recommend01:03:52
for a patient who has a child a01:03:54
patient who has some loss of01:03:56
coordination01:04:02
the 2020 Army Test according to01:04:05
Linde already charged São João 201801:04:08
What is the most common adverse event01:04:10
of systemic therapy with Metronidazole01:04:13
Remembering the antibiotic Metronidazole01:04:14
widely used for periodontal disease01:04:17
in Association mainly the01:04:19
amoxicillin, both bactericides, and the01:04:23
most frequent event that happens with the01:04:25
Metronidazole let's see the alternatives01:04:27
tongue coating letter B intolerance01:04:30
gastrointestinal letters and neuropathy01:04:33
peripheral and neurotoxicity letter01:04:37
my feedback here guys what else01:04:40
what happens is intolerance01:04:42
gastrointestinal tongue coating, right?01:04:44
peripheral neuropathy he even considers01:04:46
as an event that wants to be rarer, okay?01:04:49
he considers it as an alteration of the01:04:51
Metronidazole, but it's something rarer, let's01:04:55
take a look, I'll do a review01:04:56
who about doesn't know about this one01:04:58
Metronidazole, sorry, but above all01:05:00
antibiotics here what it means to have an idea of01:05:04
most common effects So how do we01:05:06
see Metronidazole look put the01:05:08
peripheral neuropathy and it is coating01:05:09
lingual is like an infrequent effect01:05:12
OK01:05:15
and our alternative, which was, right, is a01:05:18
common use of Metronidazole01:05:19
gastrointestinal intolerance in addition to01:05:22
gastrointestinal intolerance has the01:05:25
nausea here talking about Metronidazole01:05:27
there is nausea and the antabuse effect01:05:29
Remembering that antabuse effect01:05:31
effect when the patient uses the01:05:32
Metronidazole with alcohol we have01:05:35
an exacerbation and all the effects01:05:38
frequency there in association with alcohol01:05:41
it is called the antabuse effect01:05:45
And another wasn't even called an effect01:05:46
disulfiram, it could be that in the test01:05:49
you you find this effect01:05:52
side effect as a disulfiram effect01:05:55
so again coming back here on the iPhone01:05:57
Dazol diarrhea can also happen01:06:00
unpleasant metallic taste come on01:06:02
review here of penicillin is that the01:06:04
We use penicillin a lot01:06:09
which in general can give01:06:10
hypersensitivity especially with01:06:12
rashes nausea and diarrhea01:06:15
uncommon effects toxicity01:06:18
hematological01:06:20
pseudomembranous colitis encephalopathy01:06:22
Especially when used01:06:24
ampicillin01:06:25
and tetracyclines and intolerance01:06:27
gastrointestinal candidiasis Remembering01:06:30
that the effect is important that the stain01:06:33
hypoplasia in childhood there when01:06:34
used until eight years of age01:06:36
nausea diarrhea and interactions with01:06:39
oral contraceptives01:06:41
infrequent effects01:06:43
photosensitivity01:06:44
hypertension nephrotoxicity01:06:47
intracranial and lastly here from01:06:49
Medicine that can give us rashes01:06:52
nausea diarrhea and how it is done01:06:54
pseudomembranous colitis and01:06:56
hepatitis, which is it, right? And remembering that it is01:06:59
This table was not done frequently and was01:07:01
taken from lindy's book01:07:08
and now folks it's a little question of01:07:11
osteonecrosis, yes, I put one01:07:13
question here about her classification01:07:15
out necrosis is a subject that is in01:07:17
high has also been heavily charged and01:07:20
this new classification here we have01:07:22
then I will do a brief review but01:07:24
I asked us this question01:07:26
know the classification of osteonecrosis OK01:07:29
So let's take a look at Vunesp from01:07:32
2015 Hospital das Clínicas da Faculdade01:07:35
of Medicine at USP is a01:07:38
Zinha question that was on the test01:07:40
hospital dentistry but for us01:07:42
It's going to be excellent for01:07:44
we know the classification of01:07:46
osteonecrosis a01:07:48
unless and crust induced by01:07:49
bisphosphonates what are the situations01:07:51
following can be considered stage 201:07:54
letter alternatives to exposure and necrosis01:07:57
asymptomatic bone letter B exposure01:08:01
bone necrosis, pain, infection and presence of01:08:03
extraoral fistula01:08:05
alternatives and edema pain and image01:08:08
radiographic image compatible with the levels in01:08:10
Alternative Exposure and Bone Necrosis01:08:13
associated with pain and infection and01:08:16
alternative and edema pain flushing heat without01:08:20
bone exhibition our template here01:08:23
she asked me the bank asked me for the internship01:08:26
2 stage two is the letter that the01:08:29
we will have an exposure and necrosis01:08:30
bone associated pain EA infection I will01:08:34
project the classification of the01:08:37
osteonecrosis so we know each01:08:41
her degree is then Remembering the01:08:43
related osteonecrosis of the jaw01:08:45
to bisphosphonates it is defined as the01:08:47
Frozen wife of bone portions01:08:50
jaw in patients exposed to01:08:52
bisphosphonates that persist for longer01:08:54
8 weeks, this eight weeks here already01:08:57
It was a matter of proof, do you have a history of01:09:00
radiotherapy to the jaws, right?01:09:02
otherwise we would have a great radionecrosis the stage of osteonecrosis is01:09:06
characterized as follows in the01:09:07
stage 001:09:10
and those at risk who have been treated01:09:13
with oral or intravenous bisphosphonates01:09:15
no necrotic or exposed bone01:09:18
apparently or necessary01:09:20
patients used the applications but01:09:22
They didn't have any kind of disposition01:09:24
no type of necrosis in stage 1 a01:09:27
people already have necrotic bone exposed01:09:29
and the patient is asymptomatic01:09:31
despite having an exhibition there he did not01:09:33
you feel nothing01:09:34
stage two necrotic bone to exposed01:09:37
in a patient with pain and evidence01:09:39
infection clinic This one was the01:09:41
answer to our question, right?01:09:42
so she already I go the patient has the01:09:45
necrotic bone Carla already has Condor in01:09:47
clinical evidence of infection that01:09:49
stage three is the final stage01:09:52
patient has an exposed necrotic bone01:09:54
patient is already in pain clinical evidence01:09:57
of infection and one or more of the following01:09:59
characteristics01:10:00
Extraoral fistula pathological fracture01:10:03
or osteolysis that extends to the edge01:10:06
bottom01:10:07
OK, so you want more internship01:10:09
advanced has one again guys01:10:11
Remembering01:10:13
she goes from stage zero there is a lot01:10:16
simple ones that go from stage one but have01:10:18
many indexes that go from the internship01:10:20
zero so it's important to do this01:10:23
memorization is also that we have the01:10:24
stage zero than that patient he01:10:26
was treated but he had no01:10:28
stage one two and three problem coming01:10:31
to three the most complicated stage01:10:37
the Fundep test management of competitions01:10:40
2018 Itati City Hall water itatiaiuçu01:10:44
Minas Gerais the test for surgeon01:10:47
family health team dentist is01:10:49
a numerical value of the relative situation01:10:52
health of a given population01:10:54
using a graduated scale with01:10:57
defined extreme values01:10:59
enabling comparisons with other01:11:01
populations classified by the same01:11:03
methods and criteria in Dentistry a01:11:06
One of the most used indexes is the index01:11:08
community periodontal care about this01:11:10
index mark v for the alternatives01:11:12
true and f for false01:11:15
and this community periodontal is one of the01:11:19
most charged indices in the01:11:20
periodontics, not just periodontics, right, but01:11:22
the public health part in a way01:11:24
In general, I asked some questions01:11:25
for us to sediment this content is01:11:28
good for us to know is basically everything01:11:30
about it let's go01:11:32
our alternatives, the three of you, are just01:11:34
Valid if you have two or more teeth01:11:37
gifts and no indication Aunt Direction01:11:40
it's exactly correct01:11:43
pockets measuring 4 or 5 mm are01:11:47
Classified as grade 4, no, right?01:11:50
bags with 45 MM a grade 301:11:53
the code for bleeding after probing01:11:56
it's one and for calculation it's two, that's right here01:12:00
Guys, okay, we're going to see one01:12:02
little review Alice he has it right01:12:04
exam requires instruments01:12:05
specifics he needs, we don't01:12:08
Can you take a not exam?01:12:10
like other simple animals, right?01:12:13
you will need an instrument specific here the periodontal probe if the01:12:16
we didn't have such a role01:12:17
There is a possibility for us to do it01:12:19
an exam for him that he talks about01:12:20
specific instrument not just any01:12:22
instrument that performs this type of examination01:12:25
ours, so this train here is correct01:12:28
insertion loss is one of the conditions01:12:30
the most complete index, right?01:12:33
the loss of extension is not because we01:12:35
takes into account periodontal disease01:12:36
comment the drilling depth is01:12:39
so that's why this item is not01:12:41
correct then ours and here true01:12:46
it is false true true01:12:50
and he fake then our feedback01:12:53
the letter b01:12:57
we're going to do a little review here of the01:13:00
community periodontal index is01:13:02
as beautiful puts agents01:13:04
community needs01:13:05
entries for the dontal it occurs from the01:13:07
following way the division is of attention01:13:10
divided into six remaining one in the region01:13:13
anterior and two in the posterior region of01:13:15
each each the need for treatment in01:13:18
an EA sextant registered when what is01:13:20
alternative placed when two or more01:13:22
teeth not indicated for extraction when01:13:26
they are present, right if only one01:13:28
tooth remain at that moment he is01:13:30
included in the remainder with you the survey01:13:33
periodontal performed around everyone01:13:35
the teeth of the sextant or certain teeth01:13:38
index is here they put it in case the01:13:41
in which the index is carried out in some01:13:46
epidemiological study Finally, it may be that01:13:48
There is only variation because he puts01:13:50
Here yes if you are going to do a survey01:13:52
epidemiological perhaps assessment01:13:55
periodontal of all teeth she does not01:13:57
be carried out Ah okay but that depends01:13:59
of each one of each and everything in the end according to01:14:02
were carried out in all cases only01:14:05
The sextant's most severe measurement is01:14:07
chosen to represent01:14:09
beyond our measures01:14:14
and we have to enter the code, right?01:14:17
so we've seen it there we go01:14:18
put take the measurements if it inside01:14:21
of the rest, seeing if they have teeth01:14:22
present or absent if you have less01:14:24
dense, right? Being inside the house01:14:26
extraction it will go into the rest01:14:29
It's with you And then after we already01:14:33
We already made this differentiation01:14:35
Did you see where we need to learn?01:14:36
take the measurement itself, right?01:14:37
and see what the codes are I will01:14:39
use a zero code so that they01:14:42
the rest that don't have a scholarship don't have one01:14:44
calculation and has no restorations with over01:14:46
a Contour without bleeding on probing or01:14:48
be a healthy patient, right?01:14:50
I have no split code one it is01:14:53
bestowed on a bagless sextant01:14:55
restoration calculation just like in the code01:14:58
zero is without victories with over01:15:00
contour because he has a bleed after01:15:02
the poll this here he has a line01:15:04
of milk, right?01:15:07
That's why in the question if we01:15:09
go back01:15:11
and he put here the code for01:15:14
bleeding after probing 101:15:16
It's because we only have the presence01:15:18
there is no bleeding here in front01:15:21
scholarship has no calculation in the territory01:15:22
Hotel But he has a bleed01:15:24
survey code 2 is assigned to01:15:27
instant if there are no bags that will be01:15:29
3 millimeters, however, be seen in the01:15:33
subjunctive regions dental calculus and01:15:35
pocket plaque retention factors01:15:37
So up to 3 mm code two goddess has the01:15:40
calculation and plaque retention factors for01:15:42
That's what he put there in the question that the01:15:44
code two it is used for calculation01:15:46
OK01:15:50
code three represents students01:15:52
with pockets of 4 to 5 mm this was01:15:55
wrong in the question he put four to01:15:57
five millimeters as code four ok and01:15:59
our code is 3 and code four is01:16:02
attributed to being tant that present01:16:04
pockets of more than 6 mm or more01:16:07
depth right then 6mm or more code01:16:10
401:16:13
And besides, folks, besides us01:16:16
carry out these surveys, right?01:16:20
another score we can use01:16:21
which is the score of the needs of01:16:23
treatment is TN which we call01:16:26
have that she will say to four and then it is01:16:28
based on condition code01:16:29
most severe periodontal disease of the dentition01:16:31
complete so if I have a patient01:16:33
that he has nothing in any of01:16:35
remaining, isn't it worth? Hey, he'll have it01:16:38
a zero sneaker so no need01:16:40
of gum treatment every day is when I01:16:43
I used code zero01:16:45
there is none he will indicate01:16:46
patient's need to01:16:48
improve his hygiene, remember01:16:51
that the code is when I call you01:16:52
code one why do I only have one01:16:54
associated gingivitis01:16:56
pn2 it will indicate the need for01:16:58
scraping, removing excess01:17:00
restorations improving oral hygiene01:17:03
That's when I warned you there in my01:17:05
menstruation the code two the code and01:17:07
three and tn3 indicates the most01:17:10
advanced code four when I01:17:12
I used code four need there01:17:14
of treatment that this patient will have01:17:15
it's going to be one of one tn3 ok01:17:18
so there are three things here that we01:17:21
You have to know how to do the index, right?01:17:24
remaining, what are we going to investigate?01:17:26
and the codes that I will use01:17:31
Hi, what about his need for treatment?01:17:34
which will be in my last score which is01:17:36
the TN01:17:41
It's another question Zinho here01:17:44
2020 and also talks about waiting Odonto01:17:49
community let's see a system for01:17:51
assessment of treatment needs01:17:53
periodontal in large groups01:17:54
population was developed by01:17:57
initiative of the World Organization for01:17:59
Health01:18:00
hi hi Nete, it's important to remember this01:18:03
Here's what's waiting01:18:05
community organization organized by the MS is01:18:09
called that my people lose dentistry01:18:11
in the Export with need or CPN in01:18:15
in relation to communications the needs01:18:17
periodontal marriage evaluates affirmation a01:18:19
follow code zero corresponds to one01:18:22
sextant without bags without calculation01:18:24
restorations with overcontour and without01:18:26
bleeding on probing That's right, right?01:18:28
personal System without grants without calculation and01:18:32
no bleeding code zero01:18:35
code corresponds to a sextant like01:18:38
code zero right without scholarship calculation01:18:40
restorations with over Contorno but with01:18:42
bleeding after proper probing01:18:44
we saw there that it was associated with a01:18:46
gingivitis the code is not right now01:18:49
code 3 corresponds to a sextant01:18:52
and with teeth with pockets measuring 5 to 6 mm in01:18:55
non-personal depth we saw there01:18:58
that code three let's come back here in01:19:00
These are 4 to 5 mm pockets, right? So this one01:19:03
my alternative here is wrong01:19:05
because here01:19:07
four to five liters and the code01:19:11
four finally so here we are01:19:14
false corresponds to a sextant with01:19:16
teeth with pockets of 7 MM or more are 7 mm01:19:20
It's 6mm, right? So this one is also suddenly01:19:24
wrong so there are only Native 1 and 2 are01:19:26
Certainly our answer sheet here01:19:37
and now we're going to get into the part here01:19:39
of graft, guys, this was one01:19:42
little question from the Vunesp bank01:19:44
Cubatão City Hall 201401:19:46
Classical approach to Regeneration01:19:48
periodontal treatment in the last 30 years has been01:19:52
use of grafts or bone substitutes in01:19:54
repair of periodontal defects01:19:57
grafts are generally classified according to01:19:58
according to its original source the bone01:20:01
inorganic bovine it is classified01:20:03
how ali frozen dry bone graft01:20:07
demineralized letter B a graft01:20:10
letters and being a letter graft from one01:20:13
autograft or letter and a bone graft01:20:17
dry frozen Our alternative here01:20:21
personal jigs is bovine bone is a01:20:23
graft smell01:20:26
and our template here will be the lyrics01:20:28
C Let's do a little review of this01:20:31
content is the angle fill here I01:20:33
Could I injunct because I loved him right?01:20:35
It's definitely the same species, but01:20:38
genetically altered So everything that01:20:39
I have to graft you here I just might01:20:41
highlight, right? I was in complete doubt01:20:44
graft or high autograft, right?01:20:47
high then the high way only power01:20:50
eliminate because the autograft is or01:20:52
autologous or allogeneic, right? It's a way01:20:54
that we remove from our area01:20:57
same and transport it to another one, then01:20:59
I remove from an Extra oral area or01:21:01
enteral and I'm going to put it in myself, right?01:21:04
high so this autograft here too01:21:06
It's not the smell move let's review01:21:08
here the main compounds there the01:21:12
main01:21:13
differences in the actions of bone grafts01:21:16
I play it here on the screen so we can see what01:21:18
for sure autogenous, we've already seen it01:21:20
here is the autograft are grafts01:21:23
transported from one place to another01:21:26
individual i.e. me removed in my da01:21:30
my structural area of yellow in01:21:31
floral and I put myself high, right next to01:21:34
makes this type of graft can be of01:21:36
side trabecular bone cortical bone and01:21:39
colored bone marrow from the region entered01:21:41
astral to in the graft graft carry01:21:45
transplanted between individuals of the same01:21:46
species but genetically different01:21:50
and trabecular and01:21:53
frozen bone marrow and bone01:21:55
cold dehydrated being a graft that was01:21:58
there the bovine bone is a way01:22:00
taken from a donor of another species01:22:02
our bovine bone is there in our01:22:04
issue is a xenograft and finally the01:22:07
alloplastic materials that are the01:22:09
synthetic implant materials or01:22:11
inorganics used as substitutes01:22:13
of bone grafts So this01:22:15
Zinha classification which is very recurrent01:22:17
to test also sometimes they put the01:22:19
like, right? As was the case here, I hear bovine01:22:22
and sometimes he puts the name Neto01:22:24
graft specifically01:22:27
so our my belly was a smell01:22:29
bovine bone graft because it is01:22:31
withdrawal from a donor of another species01:22:39
Andthere01:22:41
the 2014 Navy issue according to01:22:44
round 5 employees in 2010 in relation01:22:48
to non-absorbable materials01:22:51
used in regenerative therapy is01:22:54
correct to say that they will see the01:22:56
characteristics are personal for us01:22:58
make a brief review of the01:22:59
characteristics of these materials but the01:23:01
purpose of this question he poses to01:23:03
see if we if the candidate was01:23:05
knowing if it is a characteristic of01:23:07
non-absorbable01:23:09
This is what we see in the Indian book01:23:11
It is essential that the barrier material01:23:14
be able to create and maintain a space01:23:16
adjacent to the root surface is already01:23:18
right and you already have our template like this01:23:21
material that we are going to put this01:23:22
barrier she has to create a space01:23:23
in it we have to, in addition to creating it,01:23:25
You have to maintain that space on the surface01:23:28
root it can stick bullets you have to01:23:30
have a space there for us to have later01:23:32
ours running the changes01:23:35
necessary cell phones there for us01:23:37
try to have our Our Regeneration the01:23:40
material must prevent the passage of01:23:41
nutrients gases It's not personal01:23:44
material cannot impede the passage of01:23:46
nutrients gases it has to have a01:23:48
permeability it has to allow01:23:50
Yes, but you have to provide a fabric to the01:23:52
tissue is expected to grow through the01:23:55
material this fabric has to go through01:23:57
if they cross it, it will lose its function01:23:59
of him if he crosses or the material he01:24:02
ends up losing its function, which is01:24:04
maintain in this space this barrier to01:24:08
maintenance of a space adjacent to the01:24:09
root surface will prevent01:24:12
invagination of ligament tissue01:24:15
and it's not the ligament cells that I01:24:17
I don't want it to get personal, it's the01:24:19
skin cells that I don't want01:24:21
arrive at the location, right?01:24:23
ligament No, that's why this item is01:24:25
wrong then ABC wrong for now01:24:29
polytetrafluoroethylene membranes01:24:31
expanded ptfe takes a reaction01:24:34
tissue inflammatory when implanted01:24:36
in the body, PRF membranes are01:24:39
personal They have one of the most used01:24:41
right And then if I'm going to put it in mine01:24:44
patient one01:24:46
membrane that leads to reactions01:24:48
tissue inflammation doesn't do much01:24:50
sense, right, so this one is wrong01:24:52
Also my answer sheet is the letter A, let's go01:24:56
review a little of the properties01:24:57
of non-absorbable materials is01:25:01
OK, so let’s see the features.01:25:03
of the materials you didn't see, I decided, you see01:25:06
compatibility to ensure good01:25:08
tissue acceptance doesn’t make sense, right?01:25:10
we put whatever material01:25:11
incompatible that it causes a reaction01:25:14
inflammatory or something like that he has to01:25:17
act as a barrier to prevent01:25:19
the types of unwanted cell types01:25:22
enter the space adjacent to this mine01:25:24
surface does not have to allow01:25:26
passage of nutrients and gases must01:25:29
there is tissue integration that01:25:31
allows the tissue to grow towards01:25:33
to the material without completely penetrating it01:25:35
We have to have growth but01:25:37
I don't have to have one, right?01:25:38
penetration of this tissue01:25:41
ability to create and maintain a space01:25:43
adjacent to the root surface that01:25:45
allows this space allows us to01:25:47
clot formation at the interface01:25:49
between the flap and the root surface01:25:54
Hi babe, just characteristics of the materials01:25:56
non-bioresorbable01:26:01
It's a matter Zinho now of antibiotics01:26:04
O01:26:05
fgv-2015 tj-piaui judicial analyst01:26:09
dentist of the indicated antibiotics01:26:10
for the treatment of diseases01:26:11
periodontals are those that have active01:26:14
anticollagenase inhibiting the destruction01:26:16
tissue and assisting in Regeneration01:26:18
bone is alternatives to Tetracycline01:26:23
alternative B Amoxicillin alternatives and01:26:26
metronidazole Clindamycin alternative01:26:30
or alternative and01:26:32
Ciprofloxacin is that type of01:26:34
direct question, folks, there aren't many01:26:37
antibiotics anyway what is there when he01:26:39
asks for periodontal disease and says that01:26:41
it does not have anti-collagenase activity01:26:43
It's a simple matter we don't01:26:45
You have to think a lot, the alternative is01:26:47
even transcycle it's not ok01:26:49
There's not much we think or know01:26:52
or don't know this type of question01:26:55
the next question so let's go01:26:57
they are drunk 2020 Vila City Hall01:27:00
Velha Espírito Santo a test for01:27:02
specialist in periodontics and hygiene01:27:04
individual oral speech performed in a01:27:06
ensures periodontal health01:27:08
among the instruments01:27:10
delivered for oral hygiene the brush01:27:13
dental is the most used for removal01:27:15
of dental plaque thinking that it is too much01:27:16
common, right guys, yesterday a very question01:27:19
big as soon as the bank talks talk talk01:27:22
for the01:27:23
candidate wasting time, right? The truth is01:27:26
This law is okay, but normally01:27:29
these questions here are just one01:27:30
introduction is not to leave until the01:27:32
candidate more nervous when he sees01:27:33
There's a question, we're tense, right?01:27:36
You can see there isn't much, right?01:27:38
Lots of information here and you'll be left without yours01:27:41
Usage depends on the design of the brush01:27:42
patient star to use it01:27:44
frequency, duration and technique01:27:46
brushing This way the most01:27:49
recommended use in case of01:27:51
recession of the interdental papilla is the01:27:54
technique of the technical alternative exists01:27:57
an alternative B Bass technique01:27:59
alternatives and charter technique01:28:02
alternative modified base techniques01:28:06
and modified stillman he's asking me01:28:09
papilla recession repair case01:28:13
interdental for personal repair of01:28:15
papilla, the most recommended technique is01:28:18
Charter technique is this technique for01:28:21
tissue repair we will give a01:28:23
take a look and review here what she01:28:25
talk about this wound technique and there is another01:28:27
detail that I also want to show01:28:28
you guys, how does Charter's method work?01:28:31
is particularly effective in cases of01:28:33
recession of the interdental papillae01:28:35
tips of the brush bristles can01:28:38
penetrate the interproximal spaces and01:28:39
It is also used by solitaires.01:28:41
orthodontics a detail that I leave01:28:43
Of course for you guys they01:28:45
realize that this is a 2020 test01:28:47
she used this one more here01:28:49
modified the new edition of lindy01:28:52
2018 she puts01:28:55
and does the esteem technique and she puts01:28:58
here is the bass technique/this one01:29:00
modified, there's one there that she doesn't she01:29:03
the basic characteristics are no longer available01:29:06
modified stillman modified she01:29:07
Put Carranza's book as one01:29:10
he doesn't describe his chapter of01:29:14
brushing method he does not describe01:29:16
all techniques as described in the book01:29:18
Indian 2018 But he still puts01:29:23
we will see at the end he puts the01:29:24
technique the techniques of a modified01:29:27
Finally, what we have modified01:29:30
linen on the other hand no it will01:29:31
put the stillman modified base01:29:32
modified and More/this one is modified01:29:36
And this is the description of this technique01:29:41
bass/stillman modified brush01:29:44
then it is placed in a similar way01:29:45
in the basic techniques there is one and after01:29:49
activation of the brush head in the direction01:29:51
anteroposterior brush head01:29:53
then generated on the gum and the01:29:55
pressure or cross making it possible for01:29:57
some bristles reach the space01:29:59
interproximal is just for us01:30:03
and make this very clear, okay?01:30:06
interesting until we know what the01:30:07
modified base stillman modified but01:30:09
is the description really that the gift of01:30:11
it's more/modified stillman01:30:18
to the01:30:19
necrotizing periodontal diseases prove01:30:22
of the Air Force 201901:30:26
and necrotizing periodontal diseases01:30:30
present a constant Flora of01:30:33
formed mainly by organisms01:30:36
by microorganisms, sorry then01:30:38
reminding people periodontal disease01:30:39
necrotizing, she has a Flora, right?01:30:43
constant microbiota and a microbiota01:30:45
variable is the alternative01:30:48
aggregatibacter actinomycetemcomitans and01:30:50
treponema Palladium alternative b01:30:52
staphylococcus aureus and aggregatibacter01:30:55
actinomycetemcomitans the alternatives and01:30:58
treponema SPP to put on the internet and01:31:00
fusobacterium SP attempt to01:31:04
glanbia01:31:06
trachomatis01:31:07
porphyromonas gingivalis and01:31:09
aggregatibacter actinomycetemcomitans01:31:12
and our template here is the letter C01:31:14
These are the microorganisms involved01:31:17
they are is01:31:20
they participate as a constant01:31:23
right, a constant microbiota we will01:31:26
review here next What are these01:31:29
I know there's one more here, right?01:31:30
illness to not restful and we go01:31:32
see also variable microbiota as well01:31:34
So what do they say about the01:31:37
necrotizing periodontal disease that01:31:39
isolated microbial samples are01:31:41
necrotizing periodontal disease lesions01:31:43
has demonstrated a microbiota01:31:45
constantly found and a variable01:31:48
our question asked that I just get back01:31:50
Here is our question, she asked01:31:52
constant microbiota of diseases01:31:54
necrotizing periodontals being the01:31:56
constant composed mainly of01:31:58
treponema01:31:59
fusobacterium and prevotella ceremonies01:32:02
intermediate our variable microbiota01:32:06
it consists of a heterogeneous cluster01:32:08
of bacterial types So if she01:32:10
asked for the variable we had to01:32:12
put What is to take is really her, right?01:32:14
It's variable, right? It has a cluster, it's01:32:18
various types of bacteria plus that01:32:19
which is constant even in illnesses01:32:22
periodontal are these four micro01:32:24
necrotizing diseases are01:32:25
these four microorganisms are01:32:27
treponema celemony ne fusobacterium EA01:32:30
prevotella intermedia is01:32:35
and now let's look at a little question about01:32:38
the treatment of this periodontal disease01:32:40
necrotizing01:32:43
the air to the north 2019 in relation to01:32:46
treatment of periodontal diseases01:32:47
necrotizing agents, it can be said that, being01:32:50
activating manual instrumentation must be01:32:52
preferable to ultrasonic instrumentation01:32:54
because it is more delicate and traumatic01:32:56
Guys, what is the Indian's book?01:32:59
of Lindo he will recommend this part01:33:02
periodontal disease treatment01:33:03
necrotizing as a patient, he arrives at01:33:06
we can go to the Clinic01:33:08
when the patient arrives with an illness01:33:09
necrotizing periodontal he is01:33:11
extremely weak he has01:33:13
inversion of papillae that bad breath01:33:16
who has ever had the opportunity to see a01:33:18
patient with necrotizing disease ask01:33:20
It's a very typical case and01:33:22
the patient is really sensitized01:33:24
He has a series of others01:33:26
other questions there01:33:28
other issues involved none01:33:31
it is necessarily possible to make a01:33:34
debridement in this first moment, right?01:33:35
in an ideal way because if01:33:38
patient is sensitized, right?01:33:40
Really there with a lot of pain, right sometimes01:33:43
the essence of the mouth so what is beautiful01:33:45
he frequency is that this01:33:46
instrumentation her her preferably01:33:48
must be done with instruments01:33:50
irrigated ultrasonics that's why01:33:53
here our alternative is wrong01:33:54
because he says it is instrumentation01:33:56
manual should generally be preferred, right?01:33:59
What does the book recommend that this01:34:02
instrumentation is done through01:34:04
ultrasound01:34:05
and oral offices should not be01:34:09
avoided in the early stages of01:34:11
treatment for not marking the correct01:34:13
disease diagnosis Not personal here01:34:16
the mouthwashes they will be used01:34:18
like the supporting characters here why not01:34:20
we will necessarily achieve01:34:22
do it like when we have a01:34:23
debridement is not ideal So the01:34:26
offices they have, right they can01:34:28
mainly here the hydrogen peroxide01:34:32
o and mouthwashes with chlorhexidine01:34:37
well then they should be avoided no01:34:39
they should not be avoided that's why01:34:41
This one is also wrong, it's right01:34:43
and delineation should be avoided in01:34:45
first sessions of treatment due to01:34:48
to the discomfort that this is of comfortable grain01:34:51
that instrumentation can cause in the01:34:52
patient that should be avoided She01:34:54
It should be done more, according to me01:34:57
I said following those guidelines01:35:00
we can always make one01:35:02
properly ideal it must be realized01:35:03
but not in that way of trying01:35:05
remove everything, right? You have to go normally01:35:08
according to the patient's needs01:35:10
OK, so that's why you have01:35:12
wrong too and alternative tip from us01:35:14
feedback or supplementary treatment with01:35:17
the Metronidazole that we have already seen01:35:18
super important bactericidal antibiotic01:35:21
for periodontal disease01:35:22
240 milligrams three times a day has01:35:25
demonstrated effectiveness against01:35:26
periodontal disease microorganisms01:35:28
necrotizing when response to therapy01:35:30
mechanics become ineffective01:35:33
Guys, Metronidazole really has01:35:35
been used for this purpose and01:35:39
This is our template, here are the lyrics01:35:40
people are going to take a break now01:35:43
ok And then to have a drink of water, have a drink01:35:45
coffee for about 10 minutes01:35:47
We're back, okay, I'll wait01:35:48
you there01:35:49
[Applause]01:35:50
[Music]01:35:55
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Andthere01:36:01
[Music]01:36:22
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[Music]01:37:20
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Andthere01:37:52
[Music]01:38:07
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[Music]01:38:21
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Andthere01:39:11
Hey guys01:39:13
[Music]01:39:21
Andthere01:39:25
[Music]01:39:53
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Andthere01:40:23
Andthere01:40:27
[Music]01:40:33
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[Music]01:40:51
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[Music]01:42:34
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[Music]01:42:59
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[Music]01:46:05
[Music]01:46:13
Andthere01:46:15
[Music]01:46:25
Andthere01:46:28
[Music]01:46:34
Andthere01:46:36
[Music]01:47:18
[Music]01:47:24
Andthere01:47:27
[Music]01:47:55
[Music]01:47:59
Andthere01:48:02
[Music]01:48:23
Andthere01:48:25
[Music]01:48:42
Andthere01:48:45
Andthere01:48:50
[Music]01:48:56
[Music]01:49:01
Andthere01:49:18
[Music]01:49:37
[Music]01:49:45
Andthere01:49:47
Andthere01:49:48
[Music]01:49:57
[Applause] [Music]01:50:21
Well let's go guys, returning Let's go01:50:24
for the segment Here our questions01:50:26
It's a little aeronautical issue for 2019.01:50:30
design here for us to read the diseases01:50:32
Necrotizing periodontal changes are01:50:34
which may be confused with01:50:36
other pathologies knowing this answer01:50:39
Which of the following changes should be01:50:42
considered as a diagnosis01:50:44
ulcerative gingivitis differential01:50:46
necrotizing01:50:48
alternative air lichen planus alternative01:50:51
B pyogenic granuloma alternatives and01:50:54
Recurrent aphthous lesions and Alternative01:50:58
acute herpetic stomatitis gingiva01:51:01
personal the most differential diagnosis01:51:03
important here is gum stomatitis01:51:06
acute herpetic disease is behind01:51:09
periodontal necrotizing whenever the01:51:11
We think about periodontal disease01:51:12
necrotizing despite us having a01:51:14
characteristic well, right? This pathology is01:51:17
quite characteristic, right?01:51:19
breath due to Pap inversion01:51:21
problems generally occur there01:51:23
gum tissue is no longer a prescription01:51:25
although it is very characteristic of01:51:28
black periodontal diseases before the01:51:29
we can have one as a diagnosis01:51:32
differential the most common of them and we01:51:34
see primary herpetic stomatitis01:51:35
remembering caused by the hsv1 virus is the01:51:38
her cousin-infection is gingivitis and01:51:40
primary aesthetics the most common diagnosis01:51:43
It's common for us to have diseases01:51:44
necrotizing periodontals I brought one01:51:46
table here for us01:51:50
what was removed from the bibliography01:51:52
Linde, she will do fine01:51:54
These characteristics are what we01:51:56
must be observed when making a diagnosis01:51:57
difference between diseases01:51:59
necrotizing periodontal disease and gingivitis is01:52:02
primary herpetic stomatitis gingiva01:52:04
Firstly, the etiology of the diseases01:52:06
To avoid necrotizing, we have already seen01:52:08
There, the microbiota participates, right?01:52:12
What focus makes attentive to the constant against01:52:14
variable in periodontal diseases01:52:15
necrotizing etiology of it enter01:52:17
bacterial gum stomatitis01:52:19
primary herpetic resembling virus01:52:22
hsv1 is a cousin of hiv-1 infection01:52:28
it is usually agent Vitor Martins01:52:30
Primary doctor is remembering your name01:52:32
of the virus is the herpes simplex virus01:52:35
and here simple virus, right old01:52:37
normally in periodontal diseases01:52:39
necrotizing diseases patients have around01:52:41
from 15 to 30 years old, we have stomatitis01:52:44
primary herpetic disease, she gets it right01:52:46
children are often the car01:52:49
this puts there up to 6 years and a01:52:53
she has a great predominance, right?01:52:54
child who is breastfeeding who is01:52:56
still suckling the disease site01:52:59
necrotizing periodontals01:53:01
predominantly in the interdental papilla01:53:03
it rarely happens outside the tissue01:53:05
high gingiva, which does not occur with01:53:07
primary herpetic stomatitis gingiva01:53:08
that it can reach the gums01:53:10
as the entire oral mucosa01:53:13
regarding the symptoms of necrotic tissue and01:53:16
ulcerated and yellowish white plaques on01:53:18
necrotizing periodontal diseases in01:53:21
primary herpetic stomatitis gingiva01:53:23
we will persist in multiple vesicles that01:53:25
they can If they break they will result01:53:27
in small round ulcers covered with01:53:30
a Forex fibrin network look here is the01:53:33
bad breath is for both of us Calm down, me01:53:37
Seeing more features here01:53:38
necrotizing periodontal diseases is this01:53:42
outside Forex hour he poses as a01:53:45
bad breath01:53:46
and moderate fever may occur but01:53:48
necrotizing periodontal diseases and it is01:53:50
more common to occur in the gums01:53:53
primary herpetic stomatitis01:53:54
duration of periodontal diseases01:53:57
necrotizing a two days if she is01:53:59
treated correctly AND the duration of01:54:02
primary herpetic stomatitis gingiva01:54:04
one two weeks01:54:05
transmissibility of your wait is not01:54:07
We don't have gum disease01:54:10
primary herpetic stomatitis, right?01:54:12
herpes simplex virus one he is he01:54:18
Can he ar cause us first01:54:21
sees primary herpetic stomatitis and he01:54:23
you can later01:54:24
normal reactivation occurred01:54:27
in the form of cold sores Okay, but he has01:54:30
the transmissibility of the virus01:54:32
immunity is not sometimes due to the lack of01:54:35
inclusion if he considers a unit01:54:36
partial we consider a unit01:54:39
partial gum stomatitis01:54:41
primary herpetic01:54:44
healing not periodontal diseases01:54:46
necrotizing agents frequently It may be that01:54:48
a scar occurs, right?01:54:51
mainly these inversions of01:54:54
baby food may be if you do not return them01:54:55
Do not return to the normal position and they01:54:58
I end up understanding so then some one one01:55:01
permanence of this tissue destruction01:55:03
which does not normally occur in the gums01:55:05
primary herpetic stomatitis is that the01:55:07
destruction normally have no Manente01:55:10
but it is very important, there are many01:55:12
questions of01:55:13
people he primary herpetic stomatitis01:55:15
is in the tests precisely for this reason01:55:18
oral manifestation that it causes is01:55:21
This diagnosis is very important01:55:22
difference is also right01:55:29
the 2020 Vunesp test City Hall01:55:32
Morro Agudo São Paulo specialist and01:55:35
for odom skin, auntie, I'll delete it here01:55:38
I stayed ours, no01:55:40
happens in certain situations reactions01:55:42
inflammatory people go from origin01:55:44
bacterial01:55:45
viral or fungal, select the01:55:47
alternative that contains an infection01:55:49
virus that can cause manifestation01:55:51
oral alternative candidosis candidosis01:55:54
folks, it's a viral infection, no01:55:56
fungal, right?01:55:59
The01:56:00
Candida albicans he has it we will01:56:03
linear it is associated with a01:56:06
change in01:56:09
immunity is what they have, we will01:56:11
winning he even puts his eyes on01:56:12
wanting can also be associated with01:56:15
Candida plus Candida albicans plus is the01:56:17
that we consider that he has the01:56:19
we go he's he's he's01:56:21
associated with an immunological alteration01:56:23
That's right, herpetic gingivostomatitis01:56:25
primary is sure that our template01:56:28
right And remembering viruses01:56:31
hsv1 cousin-infection people he stomatitis01:56:34
primary herpetic virus reactivation01:56:36
when herpes simplex normally occurs01:56:43
the right guys So our01:56:45
answer here is already a viral infection, ok01:56:48
just so we can see if the fungus plasmosis01:56:52
It's so fungal background and here fibromatosis01:56:55
age retail is a genetic disease01:56:57
So it has nothing to do with a01:56:59
viral infection Okay, so our01:57:02
template here01:57:03
alternative c01:57:07
It's another one for one from Vunesp01:57:10
2019 Cerquilho City Hall for01:57:15
general dentist male patient01:57:16
clinically healthy 14-year-old with01:57:19
regular hygiene presents bleeding01:57:22
gingiva in the region of the first molar01:57:25
So let's do the following 14 years01:57:28
given important region of the first molar01:57:33
associated with insertion loss again01:57:35
here loss of bone attachment01:57:38
there is between the first and second molar to the01:57:41
examination, no other01:57:43
areas of bone involvement or01:57:45
bleeding the description is compatible with01:57:48
the alternative diagnosis came to01:57:51
pearl chronic otitis letter B aggressive01:57:55
localized letters and periodontitis01:57:57
ulcerative necrotizing gingivitis letter01:58:00
acute scaly letter C letter e pardon01:58:03
necrotizing ulcerative gingivitis here01:58:05
Guys, if the question is talking to me, let's go01:58:07
pay attention to these details, be patient01:58:10
14 years old doesn't feel young01:58:12
clinically healthy has no01:58:13
systemic manifestation that can cause01:58:15
a change or a development of01:58:18
a periodontal disease then 100 diseases01:58:20
systemic oral hygiene Ok That's it for us01:58:23
You need to understand if there is bleeding01:58:25
gingiva in the first molar region Opa01:58:27
I have a question that speaks to me01:58:29
first molar I'm already thinking01:58:31
because the pathologies there when we01:58:34
has loss of extension in the first01:58:35
molars normally we already think01:58:37
In case of a foot disease, you don't even need it, right?01:58:39
associated with loss of proximal attachment01:58:41
between first and second molars01:58:43
people already lead us to believe that it could be01:58:47
aggressive periodontal disease is not01:58:49
There are other areas with commitment01:58:51
I'm going to think about chronic periodontitis01:58:52
People don't guarantee chronic in the boy01:58:55
14 years old without any health conditions01:58:59
losing location in place I will01:59:02
thinking about every 20 chronicle, right?01:59:04
aggressive localized like this we saw01:59:07
he is young he has a loss of01:59:09
insertion located on the first molar01:59:11
so I can think of one here01:59:13
localized aggressive periodontitis that01:59:15
It's going to be my answer, let's see01:59:16
others were titinho to be active necrotizing01:59:19
he said something about the invention of01:59:20
papillae of01:59:22
edit with a membrane covering the01:59:25
slow costume and he said something01:59:27
of sense inversion of papillae did not speak01:59:30
nothing so I have no reason to believe01:59:32
that you may have periodontitis01:59:33
necrotizing now that gingivitis01:59:35
acute desquamation and sera and cerati01:59:38
It is It can't be personally what I climbed01:59:42
here insertion loss when I have01:59:44
insertion loss I may have one01:59:46
gingivitis, right? I can have us associated01:59:48
but when I tell them then I already01:59:50
I have associated periodontal disease01:59:51
I don't have gingivitis, right? I can, I can.01:59:54
have a location with a loss of extension01:59:55
that there may be people who share, yes, but01:59:57
It won't be my diagnosis if he01:59:59
He said he has insertion loss02:00:00
I have to eliminate gingivitis02:00:01
acute ulcerative and we saw it be active02:00:04
necrotizing knows02:00:05
So our template here for this02:00:07
The question will be the letter B, okay?02:00:11
localized aggressive periodontitis because02:00:12
she found that he just told me02:00:14
He told me that there is only there between first and02:00:17
second molar a young patient02:00:18
clinically healthy with regular gene02:00:21
so I'm going to think about an aggressive one02:00:23
localized aggressive reminding staff is02:00:26
serious about choosing what you're talking about, loss of02:00:29
insertion I can't put that my02:00:32
diagnosis is only gingivitis can be02:00:34
associate can but I have loss of02:00:36
insertion I have periodontitis02:00:38
I would like it here with the letter a b and c02:00:42
necrotizing ulcerative, not like me02:00:44
I said he didn't tell me anything about his invention02:00:46
papillae in have a slow sign membrane02:00:50
above is allowed chronic in the boy02:00:53
14 years old also clinically healthy02:00:56
This is our template here was a place02:00:58
localized aggressive02:01:03
the Institute to CP 2019 City Hall of02:01:06
Victory in Espírito Santo02:01:07
exam for periodontics specialist02:01:09
some periodontal instruments are02:01:12
designed for specific purposes02:01:14
such as removing calculus, smoothing02:01:17
root surfaces curettage of02:01:19
gum and removal of diseased tissue in02:01:21
relation to periodontal instruments02:01:23
Select the correct alternative sickles02:01:26
has a flat surface and two edges02:01:28
sharp edges that converge at a point02:01:30
sharp and sharp that are used only02:01:32
for removal of subgingival calculus that02:01:36
it was only if it is not used for calculation02:01:39
subgingival to sickle, it is used to02:01:41
supragingival calculus is02:01:47
your gift Lau the horns of Grays02:01:50
in are correctly called universal02:01:53
The face of your blade is an angle at02:01:55
90° cloud in relation to the lower art02:01:57
guys Grace's curette She is not a02:02:01
Universal horn is within the group of02:02:03
[ __ ] we have the universal harvests02:02:06
and the Grays harvests in ta so I don't02:02:08
I can consider an alternative as correct02:02:11
who tells me that Grey's horns are02:02:13
universal, so this template is02:02:15
alternative here is wrong that they don't02:02:17
are universal02:02:19
and this 90 degrees here with the harvests02:02:22
universal the horns of Grays in 13 1402:02:25
are recommended for anterior teeth02:02:28
as they provide better adaptation to the02:02:30
anatomy of this tooth group02:02:32
Guys, the Grace horns are02:02:34
used for posterior teeth in02:02:37
general 11 12 13 14 that make up that02:02:40
basic game we will come more for02:02:42
ahead we have some02:02:44
some modifications to the Grace horns02:02:47
for posterior teeth I go02:02:48
highlight the issue a little to the student02:02:49
further ahead, but as a rule here02:02:52
in our base game that we will02:02:53
have the harvest 11 12 13 14 in that = 11 and02:02:57
12 for Mesial faces to 13 14 for As02:03:00
Faces of Such Flaws 78 for The Faces02:03:03
proximal02:03:05
and the curette is an instrument of choice02:03:08
to remove subgingival calculus02:03:10
That's right, that's right, root planing.02:03:13
of the altered Seed and removal of the02:03:14
soft tissue lining of the bag02:03:16
Our answer sheet is correct, so here are the lyrics02:03:19
d02:03:24
Hello everyone, this question here was a02:03:27
question of the Vunesp board of the Prova do02:03:29
Army I considered a question well02:03:31
complex, it's really here only those who02:03:35
studied Who went in depth that goes02:03:36
be able to answer this question02:03:38
question it already addresses instruments02:03:40
periodontal02:03:42
relatively new the book of laughing he02:03:45
won't put it, there's a specific one02:03:48
thus the function of each of the crops02:03:49
in the instrumentals he will put the02:03:51
angle but it doesn't write, it's with02:03:54
a lot with a lot of property, right?02:03:56
snapper book he will put these02:03:59
crops and he will sort not he02:04:02
go02:04:04
put the information02:04:06
their characteristics, right?02:04:09
in each of these types of02:04:10
instrumental02:04:11
and this question here she made a mix02:04:14
and she was interested in knowing if02:04:17
the candidate actually had studied02:04:19
the reference and had connected with them in a02:04:22
a group of relatively new curettes02:04:24
new ones here that we have Let's see02:04:27
alternatives then I'll tell you accordingly02:04:29
one appearing the alternatives02:04:32
considerations about each one at 40 Grace02:04:35
number 15 and 1602:04:37
has an elongated terminal stem02:04:39
3mm and a more accentuated angulation Dessa02:04:42
art to provide occlusal cleaning and02:04:45
better access to all surfaces02:04:47
later discs02:04:50
and the frown people he puts02:04:53
two two new groups of curettes, right?02:04:56
relatively Our harvest 15 16 and02:05:00
harvest 17 and 18 years these are correct02:05:03
They are used for areas02:05:04
later and they are modifications of the02:05:07
curette 11 12 13 14 what is white02:05:10
She did it here and put the description like this02:05:14
part here is a terminal art02:05:17
lengthened by 3 mm and a wider angle02:05:20
accentuated this art to provide02:05:22
cleaning cross the and the best access to02:05:24
all surfaces undo later02:05:26
She says it's harvest 17 and 18 guys02:05:31
and the bank changed the harvest 1718 she02:05:36
is used is a modification of the02:05:38
harvest 13 14 and it is used for02:05:40
Distal surfaces of the posterior teeth are02:05:43
so if I know if I knew here at02:05:47
In case my curette 17 and 18 is02:05:50
for posterior teeth, sorry at 15 and 1602:05:52
that I delete here02:05:55
Oh if I only knew that the 15th and 16th02:05:57
she is for mesial02:06:00
and I can now eliminate this one so ok02:06:03
But what did the band do here?02:06:05
changed, we'll see here at02:06:06
alternative B is the description of this02:06:09
Alternative B harvest is 15 and 1602:06:11
Let's look at Gracey's curette 1718 now02:06:15
Delete here so there is no confusion02:06:19
consists of a Grace blade number02:06:21
eleven twelve combined with art number 1302:06:24
14 this characteristic is more angled02:06:26
Guys, it's curette 15 and 16, so02:06:29
bank simply changed here02:06:34
and the harvest 1516 that she she has a02:06:37
11 and 12 blade with an angled shank02:06:42
and let's see the next one02:06:44
and the curettes After five After five what02:06:48
understood art, it's the same thing02:06:50
features blades that are half as large as02:06:53
length of those existing in the curette of02:06:55
standard gracey terminal art is 5mm longer02:06:58
Long enough to reach bags02:07:01
deeper periodontal here guys02:07:03
he made a mix of Africa and Fabi with02:07:05
a mini-five a After five a rod02:07:08
her terminal is three millimeters longer02:07:10
Long02:07:12
Oh yeah and he put the number 5 here on02:07:17
with the intention of confusing the candidate02:07:18
because when will he register02:07:20
from coretapper Fire the five millimeters02:07:22
what he says is the following and he says that02:07:25
with this area extension of 3mm we02:07:28
can perform debridement of a02:07:30
pocket 5 mm or more in depth02:07:32
so he put five millimeters here02:07:34
to try to confuse the candidate even02:07:36
with regards to this so to be well02:07:38
clear the crops with tape and make them not02:07:40
has blades that are half as long02:07:41
length of stocks at harvest02:07:43
Grace except she has Terminal 3 art02:07:46
millimeters longer than it goes02:07:48
allow us to reach pockets of 5 mm02:07:52
deep or more, so02:07:54
That's what put this five here in the02:07:55
in order to confuse the candidate02:07:57
I considered your soul that you are fine02:07:59
complex, not very detailed and the white one02:08:02
still make this mess of all02:08:04
sides there for the candidate02:08:06
alternative d02:08:08
Yeah, but enjoy it, Grace has an angle.02:08:10
approximately 60 and 70 degrees correct in02:08:13
relation to inferior art allowing02:08:15
it is inserted in the precise position02:08:17
necessary for subgingival scaling and02:08:19
personal root planing02:08:21
This is the exact description02:08:23
gracey curette description02:08:25
alternative God doesn't see our feedback02:08:27
alternative there that also has02:08:28
installed here02:08:29
things make me02:08:32
and presents Holambra with equal size02:08:34
to the gracey curette standard art02:08:37
Terminal 3 minutes longer02:08:39
three millimeters longer than the02:08:41
Side features After five is not02:08:43
which are the harvests of extended art02:08:44
There's a white woman who wanted to make things more complicated02:08:47
Really, the candidate's life is just for02:08:49
people understand the After five horns02:08:52
They are like this, forgive them here02:08:55
have a blade that is half as long as02:08:58
length02:08:59
the After five of the Grays harvests in02:09:02
standard is so here the blade is not with02:09:05
same size, it's half and this is 3mm02:09:09
here it is part of extended art02:09:13
he is part of the active harvest, understand02:09:15
staff as well as the bank was judicious in02:09:17
how malicious the bank was even in this02:09:20
in this matter she really is02:09:22
interested in knowing whether the student was02:09:24
managed to record and managed to see everything02:09:26
correctly in relation to the curettes, okay?02:09:28
Looking back, we think this issue is02:09:30
this bibliography this subject of the02:09:32
carranza book with more details02:09:35
Okay, just to remind you02:09:37
he poses with a modification of the02:09:40
Gray harvests and the harvest 15 16 17 1802:09:42
yes, they are modifications of the horn 1102:09:45
12 13 14 she let's not forget this is02:09:49
Furthermore, the characteristics of the curette02:09:51
After Five and the mini Fire curette too02:09:53
we have to know that afterfab are the02:09:55
extended so we have three02:09:57
millimeters is02:09:59
art is more, right? I think finishing hers02:10:02
And then she allows us to be easy02:10:04
properly from 5 mm bags or02:10:06
More deep and Mille things02:10:08
Fire that they are half the size02:10:11
They are half the size of the blade02:10:13
of them than a Gray harvest and without02:10:15
standard Okay guys, the little question is02:10:18
The template for this one is quite complex.02:10:20
question is the letter D so he02:10:22
accurately characterized the02:10:25
gracey curettes02:10:28
I did a little review here of the harvests02:10:31
Grace then remembers more than 60 and 75 degrees02:10:34
in relation to inferior art the main02:10:37
gracey curettes is one two three and02:10:38
four we will use there for the02:10:40
anterior teeth 56 anterior and02:10:42
premolars 7 8 9 10 to posterior02:10:45
right lingual vestibular Free Faces eleven02:10:49
twelve posterior mesials 13 14 for having02:10:52
originals so far guys02:10:54
normally Carlos and considers that02:10:56
basic game is curettes, right? 1502:10:59
16 17 and 18 that we put there in them02:11:02
are also used, but it is not the case that02:11:04
we don't have it we won't02:11:05
I can finally do the debridement02:11:09
of our periodontal pockets but it02:11:11
There are modifications I would consider02:11:13
This is a very hot topic, okay?02:11:16
corvettes exactly what I book from02:11:18
carranza states that there are some02:11:19
changes I purchased I would consider one02:11:22
hot topic, right? He still brings it back02:11:23
he brings new things, right in the last book02:11:26
out of nowhere, right, and collaborators we see02:11:29
this here would consider this question a02:11:31
question well and who has for the02:11:33
next questions are related to02:11:35
instrumental02:11:39
the issue of Aeronautics, the devices02:11:41
ultrasonic converts current02:11:42
electrical energy into mechanical energy in the form of02:11:45
high frequency vibrations at the tip of the02:11:47
instrument02:11:50
and the frequency of vibration vibrations02:11:52
of ultrasonic instruments varies from02:11:54
600 to a thousand Hertz 2000 to 6 thousand Hertz 5 thousand02:11:59
at 10 thousand Hertz 18 thousand at 50 thousand rest02:12:02
here guys This is a big one here02:12:05
that decorating is the letter b there is no way02:12:08
and we have to decorate and we have02:12:11
here are two types of instrumental that02:12:12
we're going to have the sonic ones that02:12:15
his frequency will be this one here two02:12:17
thousand to 6 thousand and the ultrasonics are a02:12:20
issue that we have to record02:12:21
forget Sonic he's him no he's not02:12:24
There's another name, how did I record it?02:12:26
Here's another trick I recorded02:12:28
good and it worked for me let's go02:12:30
Ultra So we have sonic02:12:33
YouTube, the other one is bigger, right?02:12:36
has 18 thousand02:12:38
at 50 thousand Tec02:12:40
Hi and Sonic 2 thousand to 6 thousand rest is is the02:12:46
that has another name is what I have02:12:48
higher frequency that's how I recorded it02:12:49
I don't know if it will work for you but02:12:52
It's the number we have to record, okay?02:12:53
others are not part of ours02:12:55
nor sonic and ultrasonic instruments02:13:01
the 2015 Aeronautics test several02:13:03
factors may contribute to the loss of02:13:05
papilla height according to the02:13:07
internal nodule classification02:13:09
98 the tip of the papilla02:13:12
interdental locates locates02:13:14
forgiveness usually at the level of junction02:13:16
cementoenamel on the proximal surface02:13:20
but coronary at the level of the junction02:13:22
cementoenamel on the buccal surface02:13:25
and what is the classification he02:13:28
write here is the papilla assembly02:13:30
the junction level is currently located02:13:32
cementoenamel on the proximal surface02:13:35
but coronary junction level02:13:36
cementoenamel on the buccal face, people02:13:38
Let's see guys, it's been racing like this02:13:40
It's difficult for us not to see the photo but the02:13:42
We're going to see a little review of this02:13:44
here is our alternative template B Okay02:13:48
right02:13:49
we're going to do a little review of this02:13:51
Eternal Leo's new rating is ok02:13:54
This is what the classification tells us02:13:57
it's the shape of the papilla It's right if mine02:14:00
papilla it takes up all the space in the sock02:14:03
It's taking up all the space in the sock02:14:05
that we will come here02:14:07
no no no no in the first in the first photo02:14:10
it is normal, that is, my papilla is not02:14:13
I don't feel sorry for papilla she was02:14:15
taking up all the space from the sock to the02:14:17
this is the point here, it's up to the point02:14:21
he is the point of contact so we02:14:23
There is no loss of any kind in mine02:14:25
class one we are already going to have a loss02:14:28
paper, you can see this here02:14:30
clinically it appears like that02:14:31
Black Space, right, so we already have one02:14:34
loss of papilla Are that this loss of02:14:36
personal papilla, it is coronal to the junction02:14:38
cementoenamel in the mesial area here02:14:42
In this case, the tooth is proximal and between the02:14:44
point of contact so the loss I02:14:46
I have02:14:48
and the loss that I have here will be02:14:50
between the point of contact and forgiveness02:14:53
between my point of contact and the junction02:14:55
cementoenamel at a level close to ta02:14:57
right then I have this loss here02:14:59
classified as Class 2 mine02:15:02
class 3 me who is the02:15:04
just for me to come back here I think it was the02:15:06
what our question asked is right02:15:09
and she asked for class 2 right02:15:11
tropically the cementoenamel junction02:15:13
but coronarily right she asked me02:15:14
this one here02:15:16
and no she apologized to me here02:15:20
apically Assunção on the surface02:15:22
proximally but coronally at the level of the02:15:24
cementoenamel junction personal forgiveness02:15:26
what she asked me for here was this one02:15:29
we will see now that class 2 is02:15:30
where I have a loss of papilla is alone02:15:34
that this loss of papilla is02:15:35
located between the junction02:15:37
cementoenamel in the book proximal EA02:15:40
cementoenamel junction at the level02:15:41
vestibular here of the tooth is when I02:15:44
I have this cover for this region here02:15:47
loss, this is class two, okay?02:15:52
Oh, that's right, I'm just paying for the farm02:15:54
don't get too messy and here at02:15:57
my pants and three my class 3 that02:15:59
I will put it here for you02:16:03
AND02:16:04
then you give me di da papilla is located02:16:07
or apically to the mid-buccal level02:16:10
of the cementoenamel junction, it is02:16:12
Currently she is normally with us02:16:14
There is already a certain defect here because this02:16:17
level of the interdental papilla She is02:16:19
apically here my junction02:16:20
cemento-enamel so this is where we have02:16:22
here is02:16:24
It's a repair, it's much more advanced, okay?02:16:27
In this case, we have Square02:16:30
for the possibility of reconstruction02:16:34
here a level 3 level 4 stay is very02:16:37
more complex is ok guys then02:16:39
In our question here, let me just go back02:16:42
so that we don't have any doubts about02:16:45
end of the papilla so fast02:16:46
really the cementoenamel junction in the02:16:48
proximal coronary surface level02:16:50
cementoenamel junction on the face02:16:52
entrance exam for the class that is here02:16:54
And then our template is this one here02:16:56
right it will correspond to this one here that the02:16:59
class 202:17:01
and she is coronal02:17:04
point of contact here at the junction02:17:07
cemento-enamel and But it is apical02:17:09
also the cementoenamel junction at the level02:17:12
proximal this classification of internal02:17:14
Hey guys, they also have papillae02:17:19
are theoretically quite expensive there02:17:21
in the tests02:17:28
in relation to the teaching of exotics that was02:17:31
Aren't you writing our story that 2018 is the02:17:34
procedure aimed at carrying out02:17:35
juices and verticals for better02:17:37
retail adaptation is just activating02:17:39
alternative osteotomy B osteoplasty02:17:43
alternatives and gingivectomy and me02:17:46
Gingivoplasty alternative02:17:48
here guys he is telling me that he02:17:51
he's writing what he wants02:17:54
perform a procedure with grooves02:17:56
verticals is the purpose of mine yours02:18:00
plasty means modeling this bone, okay, I don't02:18:03
I'm going to remove the supporting bone, okay?02:18:06
telling me about the question he is asking02:18:08
just juices he didn't tell me for a moment02:18:09
that he is removing the sunning support02:18:11
it's not making juice vertically for the02:18:14
we can better adapt this02:18:16
Flap but without removing this tissue02:18:17
supporting bone then the template of the02:18:19
my question here will be option B02:18:21
Why can't it be an osteotomy02:18:23
Because wow, I'm Mia, I'm going to do the02:18:26
removal of the supporting bone in no02:18:27
the moment the question spoke to me I go02:18:29
I'm not going to remove the02:18:31
another one in this port that's why mine02:18:33
feedback cannot be hostile to02:18:35
osteotomy Okay and we will02:18:37
Here we go, I'm going to have the surgery too because02:18:39
That can't be because he told me that02:18:40
he is removing bone bone surgery02:18:43
periodontal and you're telling me that it02:18:44
made vertical grooves in the bone02:18:48
hasn't even said for a moment that02:18:50
wait it's related I need evil02:18:52
That's why I couldn't even think02:18:53
in alternative b then there is no02:18:55
dry right guys Remembering then02:18:57
osteotomy that I will remove the face of02:18:59
support and if the plastic does not remove it02:19:01
I make juices to adapt a Retail02:19:03
but without removing the supporting tissue02:19:04
leisure That's right02:19:07
And then our answer sheet here letter B02:19:10
Now let's see about the02:19:12
chlorhexidine this person very charged02:19:14
Nor are competitions in the area of02:19:16
periodontics but in the competitions of a02:19:17
general way02:19:20
and were here 2021 analysis evaluate the02:19:23
statements about chlorhexidine02:19:24
and has a has symmetric molecules with02:19:27
2 phenolic crown rings and has two02:19:30
remains belongs to the group of02:19:31
bisbiguanides02:19:33
Alternative 3 is active against bacteria02:19:35
gram-positive gram-negative02:19:37
alternative 4 has bactericidal action and02:19:40
bacteriostatic02:19:42
and let's see then guys it's White02:19:45
put one on it as an alternative here02:19:48
that caught the candidate flustered, right?02:19:51
It will be that if I see here it has02:19:52
asymmetric molecules with 2 crown rings02:19:55
phenolics or02:19:57
candidate is desperate, he's already going there02:19:59
because he knew symmetric molecules02:20:01
he already remembers that he already heard this02:20:03
he ends up taking it for granted but what02:20:05
that Branca Face did well, right?02:20:07
enough good candidate has molecules02:20:09
asymmetrical non-personal molecules of02:20:13
chlorhexidine there are symmetrical the error is02:20:15
in the question being that there then that02:20:17
competitor that he was already running there and02:20:20
he already knows that he has already seen something02:20:22
related to symmetry Rings he put02:20:25
That's what I take for granted, but in reality it is02:20:26
wrong just because of the molecule02:20:28
actor decided on them and symmetrical and not be02:20:31
asymmetric02:20:32
and does not see the other items belongs to02:20:35
group of bisbiguanides belongs to and is active02:20:38
against gram-negative bacteria and02:20:39
gram-positive, fungi and viruses too02:20:41
It is active against fungi and viruses as well02:20:44
has bactericidal and bacteriostatic action02:20:46
Yes, it has bactericidal action and02:20:48
bacteriostatic our template then02:20:51
lyrics remembering molecules02:20:53
symmetrical02:20:56
and let's review the02:20:59
characteristics of chlorhexidine here02:21:01
You usually fall a lot in the test, so02:21:03
come on she how much she is done02:21:05
chlorhexidine is used02:21:07
at low concentrations it will increase02:21:10
the permeability of the plasma membrane02:21:12
leading to bactericidal effect02:21:15
bacteriostatic then normally02:21:16
low concentrations we will have a02:21:18
It is made in the microorganism it will have an action02:21:21
bacteriostatic now if I have one02:21:24
higher concentration, right if I increase it02:21:26
this concentration then yes I will induce02:21:28
the precipitation of proteins is and death02:21:31
cell phone and I will promote an effect02:21:32
bactericidal Okay guys, so the02:21:35
antimicrobial effect depends on the02:21:38
concentration it can be either02:21:39
bacteriostatic and bactericidal and02:21:43
corag Dina proved capable of penetrating02:21:45
my film and act actively within02:21:47
of him changing his formation Or has Do02:21:50
bactericidal effect02:21:51
plaque inhibitory effect on02:21:53
chlorhexidine they adhere to the surface of the02:21:56
tooth interfere with bacterial adhesion02:21:58
Colastrin also interacts with02:22:01
salivary glycoproteins that raise the02:22:02
reduce salivary film formation02:22:04
Now I'm going to show you more like this02:22:06
charged on chlorhexidine is in relation to02:22:08
its noun, so let's see02:22:11
chlorhexidines,02:22:13
chlorhexidine pardon Silva02:22:14
irreversibly This was once a matter of02:22:16
prove it here, the bank puts it02:22:18
irreversibly in the tests that is02:22:21
wrong is to oral tissues with a02:22:24
slow release that allows effects02:22:26
constant antimicrobials of up to 1202:22:28
This is what's important here, this is02:22:31
Our main feature of02:22:33
toxin is the most charged, that's the question02:22:35
of your childishness that Remembering that02:22:37
This union is reversible, okay?02:22:40
there is union and reversible02:22:42
It is02:22:43
one more question here about chlorhexidine02:22:45
Chlorhexidine has some effects02:22:47
side effects among these effects can02:22:50
mention a rare effect but mentioned in02:22:52
literature that acts and makes unilateral02:22:54
or bilateral of the gland's friends02:22:58
parotid gland of the sublingual gland or02:23:02
submandibular lymph nodes here guys02:23:04
It's the parotid gland, that's correct.02:23:07
It's one of the rare effects, but it's one of the effects.02:23:11
it's already gone02:23:12
happy it was02:23:15
presented right then and they the book of02:23:18
Beautiful, he ends up putting these02:23:20
these effects are even rare and it ended02:23:22
putting them in we will review them now02:23:25
the side effects of chlorhexidine02:23:27
some effects they are more prevalent02:23:29
right, others are rarer, but the02:23:32
Guys, I made a list here, right?02:23:34
you know what these are02:23:36
effects of chlorhexidine reaction02:23:38
hypersensitivity02:23:39
deafness sensorineural deafness if the02:23:41
product to place in mid-Londrina02:23:43
taste changes this one is good02:23:45
We often see this in the clinic, right?02:23:47
in the use of chlorhexidine affecting02:23:50
mainly the salty and02:23:52
bitter which are reversible to you who are02:23:55
important doesn't stay for the rest of your life02:23:56
and disappear soon after the continuation02:23:59
using Akira Our question is you02:24:01
you make me uni or bilateral02:24:04
parotid glands here and that was the topic02:24:07
of the 2018 question L of the Air Force02:24:09
mucosal erosion what I've seen here02:24:11
Guys, this part of erosion is White02:24:14
to place02:24:16
as a characteristic tooth erosion02:24:19
And then making this mess is nowhere02:24:21
moment he says it was not dental he02:24:22
says that the erosion of the mucosa is white02:24:24
which left only erosion AND dental erosion02:24:26
And then you might get some02:24:28
candidates but there is nothing saying that02:24:30
was using dental there is a change in02:24:32
healing process increase in02:24:34
calculus formation and staining on teeth02:24:36
That's what we see most in the clinic, right?02:24:38
tooth staining and changes02:24:40
of taste02:24:42
side effects still chlorhexidine02:24:48
What is so grammar 2020 control02:24:51
plaque chemical may be necessary02:24:52
in those individuals who are not able02:24:54
to properly control biofilm02:24:56
supragingival with mechanical devices02:24:58
so the product use of chemicals02:25:01
can be an adjuvant to devices02:25:03
mechanics in relation to the correct regime02:25:06
state that in low concentrations02:25:08
induces protein precipitation02:25:11
cytoplasmic cells and cell death02:25:14
We saw it in the other slides, right guys?02:25:15
It is in low concentrations that it02:25:17
he goes02:25:18
cause precipitation of proteins02:25:21
here in high concentrations02:25:22
then it will have an effect02:25:25
bactericide, right?02:25:30
and in low concentrations02:25:32
what a pardon in high concentrations it02:25:35
decreases membrane permeability02:25:36
plasma, having an effect02:25:38
bacteriostatic not here is in lows02:25:41
concentrations02:25:42
and comes layer our personal image02:25:44
as concentration increases I will02:25:46
have a certain bactericidal effect that it02:25:49
will cause precipitation of02:25:50
proteins the molecules come together as I02:25:53
I irreversibly spoke the oral tissues02:25:55
not reversibly personal what02:25:58
provides an antimicrobial effect even02:26:01
12 hours this would be noun02:26:03
but there is no reversible, show this02:26:06
capable of penetrating the biofilm and acting02:26:08
actively within it altering its02:26:10
formation or having a bactericidal effect02:26:13
our alternative template is correct02:26:20
and now Miller's ratings are02:26:23
respect for retractions well charged02:26:25
Here I don't know that we have this02:26:26
question then it came out classification02:26:28
Miller to Make Our Order 201902:26:30
What is gingival recession called?02:26:32
whose gum margin lies on02:26:35
the complete EA mucogingival line02:26:37
interproximal tissue preservation for02:26:40
with the boxes for the classification of02:26:42
corn was we have to take two02:26:43
things to consider Where is this02:26:45
repair if it is above the level02:26:48
below the mucogingival junction, this02:26:50
we have interproximal losses02:26:52
associates, that's what we have for02:26:53
four types of classification let's02:26:56
carry them out here, we'll just see ours02:26:58
feedback if I'm talking to this02:26:59
margin back over line02:27:01
mucogingival and I don't have any02:27:03
problem of no tissue loss02:27:06
interproximal my diagnosis here02:27:08
It's going to be a class 2 recession in him02:27:12
It's just for us to remember class one02:27:15
it will be a tissue recession02:27:17
Marginal in that it does not extend to the02:27:19
mucogingival junction and also not the loss02:27:22
bone nor interdental soft tissue to02:27:25
difference from class 1 to class 202:27:27
she is in relation only to where she is02:27:30
extends the reparation, she, she,02:27:32
extends to the cementoenamel junction or02:27:35
besides her but I also have no losses02:27:38
so the big difference between the class02:27:39
1 and 2 is the location, right?02:27:42
class two it will be at the junction or02:27:44
beyond the junction is the junction02:27:46
mucogingival02:27:48
Class 3 soft tissue repair that02:27:51
extends to the mucogingival junction02:27:53
besides that And then I have bone loss or02:27:56
of interdental soft tissue or02:27:59
incorrect positioning of my tooth and02:28:01
finally, the most serious thing here is that the02:28:05
class 4 I will have a repair on02:28:07
Marginal tissue that extends to the02:28:09
mucogingival junction nor loss of02:28:11
severe interdental soft tissue bone or02:28:13
serious and incorrect positioning of02:28:15
teeth are so classification of me is02:28:17
that falls a lot and what does the Indian02:28:20
puts in his book is that to do the02:28:23
coating procedures in02:28:26
class 1 and class we will have one02:28:28
good prognosis but we won't02:28:30
having this in class 3 and class 4 is ok02:28:35
The02:28:36
next question Vunesp City Hall02:28:38
Cubatão 201202:28:39
this test for specialist in02:28:41
periodontics is a great advantage of02:28:43
Modified widman flap is in your02:28:46
indication for compromised areas02:28:47
aesthetic, the initial excision is02:28:50
purpose of delimiting the epithelium of the02:28:52
bag that you want to remove from the fabric02:28:55
gingiva with the aid of a scalpel and02:28:57
park neighborhood and a blade02:28:59
disposable number 11 the incision must be02:29:02
alternative made perpendicular to02:29:04
Gingival smile line alternative B02:29:07
perpendicular to the long axis of the02:29:09
alternative tooth be a 45 angle02:29:12
degrees in relation to the gingival sulcus02:29:14
Alternative to a 75 degree angle in02:29:17
relation to the gingival margin and alternative02:29:19
is parallel to the long axis of the teeth02:29:22
Hello02:29:24
Guys, our template here is02:29:27
parallel to the east of the teeth02:29:29
Remembering Widman's Flap02:29:32
modified it is also called02:29:33
scraping in the open field for us02:29:36
make this incision ourselves, right?02:29:38
incision for flap reflection02:29:40
we're going to do it is basically in02:29:42
three steps what is he asking me here02:29:44
it's one it's the initial incision Okay so it's02:29:46
It is important for us to note that here in02:29:48
My issue is he asked me to terminate02:29:52
I can mix a song, see?02:29:54
this done02:29:56
the initial here, I was looking for the day02:29:58
that's here, so it's always there for me02:30:01
asking for the initial incision this incision02:30:03
it will be parallel along this two02:30:04
teeth, he's asking me for my cousin02:30:06
first incision Remembering here at02:30:09
modified widman flap, right?02:30:12
open field flap procedure02:30:13
This is the incision made at 0502:30:18
and One millimeter from the gingival margin and02:30:20
parallel to the long axis of the tooth is correct02:30:23
it will be parallel to the long axis of the02:30:25
tooth can pay here so it doesn't get damaged02:30:27
our design02:30:29
And then our template here, right there,02:30:32
our question is the letter D because it will02:30:33
be parallel to the long axis of the tooth with02:30:35
a 15 blade I remember we saw in02:30:37
our question a blade 15 pardon02:30:40
folks with an 11 blade remember that the02:30:42
we saw there in that alternative that02:30:43
they contained the blades, right?02:30:46
and Always remembering then parallel to02:30:49
long axis of the tooth02:30:51
Pronatec 2014 over the years02:30:53
different surgical techniques have been02:30:56
described used in therapy02:30:57
periodontal Read the excerpt below in02:30:59
Then select the alternative that02:31:01
correctly fills the gap in the02:31:02
technique of X depth of pockets are02:31:06
will be identified with a Probe02:31:08
conventional periodontal treatment at the level of the02:31:10
bottom of the bag we will pierce with02:31:13
a slightly bleeding probe is produced02:31:15
then the incisions are made02:31:16
primary and secondary after removal02:31:19
of gingival tissue covered operated area02:31:21
with surgical cement this procedure02:31:23
that I just wrote he is02:31:25
compatible with us will sleep02:31:27
alternative B with Newman flap02:31:29
alternatives and with original retail02:31:32
widman or com retail alternative02:31:34
modified from last staff02:31:36
characteristics of the one I just02:31:38
write here in the question they are the02:31:40
characteristics of the directory we02:31:42
We're going to do this survey, right?02:31:45
pass the survey measurements to02:31:48
external surface and we will do is02:31:51
of the gingival tissue, that's right, it's the02:31:56
retail techniques here guys that02:31:58
they wrote when I would use02:32:01
in which situation when I want to do02:32:02
a non-surgical treatment02:32:04
surgery of this bag but reduction of02:32:06
bag but it occurs when she runs02:32:07
through an incision was going to open02:32:09
I will debride this flap according to the02:32:11
Technician tells me if I remove tissue02:32:13
bone or if I'm just going to do the02:32:15
debridement is of the root surface02:32:17
EA suture depending on the technique and the02:32:21
level at which I will use this suture if02:32:22
I'm going to position it in the position that02:32:24
was she previous or if I will02:32:26
positioning it apical will depend on the02:32:28
technique, so Retail I won't have the02:32:31
question here she told me that she will02:32:32
have to remove this tissue then02:32:35
He didn't say anything about sutures, he didn't say anything about02:32:36
retail opening so here is mine02:32:38
Let's go, I'm Mia, he simplified the02:32:41
technique here he didn't write it all02:32:43
technique we go to Italy but the fact02:32:45
he told me that it is at the level of02:32:47
bottom of the bag we see pierced with02:32:50
o And then I'm going to make bleeding stitches there02:32:53
I will make the incisions that more and02:32:55
secondary removal of gingival tissue and02:32:57
I will close the area with if you are a liar02:33:00
At no point did he tell me about suturing02:33:02
flap opening a debridement in02:33:05
removal I forgot about Ocio okay So the02:33:07
my template here is us Vector Mia02:33:11
Ero Náutica 2021 regarding the02:33:13
surgical techniques for the treatment of02:33:15
periodontal pocket is incorrect to state02:33:18
that's incorrect, another thing that catches02:33:20
a lot of good people and we02:33:22
doesn't read the advertised correctly, he's nervous and02:33:25
ended up seeing that the question asks02:33:26
she is asking me the wrong thing here02:33:29
people will consume it promotes eradication02:33:31
of the bag by removing the wall of02:33:33
pathological soft tissue That's right02:33:36
folks, right? This is the procedure that02:33:38
I just saw it written there02:33:40
in the other, in the other question, it's ok02:33:43
simplified But that's it we will02:33:45
rectify the scholarship through the02:33:47
removal of this soft tissue wall02:33:49
pathological Okay02:33:51
and Widman's original repair has as02:33:54
The objective is to remove the bursa epithelium and the02:33:56
correct inflamed connective tissue02:33:58
original metal personnel of an examination02:34:00
people, it is proposed for removal of the02:34:02
bursal epithelium and connective tissue02:34:04
Nilma's flap became inflamed,02:34:07
recommends a collar incision with02:34:09
removal of a maximum of 2 MM of tissue02:34:11
gingival is not the people, this is it here02:34:13
wrong is the flap of me a he is a02:34:17
repair carried out, right, his incision is02:34:19
intrasulcular is after he does it02:34:22
beat enable it makes a02:34:23
curettage of the inflamed tissue but the02:34:26
It's a piece of it, it goes circular, I don't02:34:28
I do collar flaps with 2mm of02:34:30
tissue removal so this one has02:34:33
here it's wrong, it's right02:34:35
if it was found with the original flap of02:34:37
widman Keila flap does not include02:34:40
substantial tissue removal02:34:41
inflamed That's right too guys Um02:34:44
retail of02:34:46
quitoplan is even beautiful and mentions02:34:49
the one used for interiors that I02:34:51
I will make incisions between the circular or02:34:53
make the mind baby has no removal02:34:54
bone and after this tissue he is he is02:34:57
sutured at the level it was before02:34:59
compare the widman flap that I02:35:01
I have a fabric removal scheduled02:35:02
This alternative is actually correct02:35:04
OK, it doesn't include removal02:35:07
substantial amount of non-inflamed tissue02:35:11
G1 the next one that retail part02:35:15
Just to make it clear guys, it falls02:35:16
in the tests a lot, he is still02:35:19
widely used so it's interesting02:35:20
we know the technique of this the technique02:35:22
of these scraps, right, the questions of the moment02:35:25
address the beabá of the technique So they are02:35:27
Widman's flap Widman's flap02:35:28
modified if the Flap positioned02:35:32
usually forgiveness is us Vector02:35:35
For me, the procedures are fine02:35:37
charged and interesting knows the technique02:35:38
his surgery is right02:35:41
our next one which is in then02:35:45
our work then letters and retail02:35:47
you're welcome, right? Because he's made to enter02:35:49
juice there02:35:50
FGV 2015 TJ of Roraima dentist02:35:54
final policy of the procedures02:35:55
mucogingival surgery is creation and the02:35:57
enlargement of the attached gingiva around02:36:00
single tooth to improve the02:36:02
aesthetics, the objective is to cover the02:36:03
root surface denudes the portion02:36:06
vestibular of the upper canines can02:36:08
present the extensive recession in a02:36:10
individual with food smile high this02:36:12
restriction can create an aesthetic defect02:36:14
the increase in the attached gingiva that was02:36:16
used can be achieved by02:36:18
various surgical techniques, including02:36:21
modified widman flap of knowing the02:36:24
autogenous free gingiva graft letters02:36:27
and a bone graft is used02:36:30
original flap of a language and letter e02:36:33
monocortical block graft he is02:36:36
Repeating here folks the increase in02:36:37
gum02:36:40
Hi, it's better for us to win life02:36:42
it was used I'm going to get one02:36:44
increase of keratinized gums through02:36:46
from the right middle, right the autogenous graft02:36:49
free gum the other options here with02:36:51
modified widman flap i will02:36:53
achieving gum enlargement02:36:55
guys patchwork that you will face02:36:57
selection used for treatment02:36:59
surgical bag so where am I going to get it?02:37:01
where am I going to open a flap02:37:03
properly do a suture I will02:37:05
have some gum gain, right?02:37:07
be able to create inserted gingiva with02:37:08
retail not personal at all02:37:10
so modified widman flap no02:37:12
returns original of the same also the same02:37:15
thing is a flap and is not used by02:37:17
That way, I won't get one02:37:18
enlargement of attached gingiva02:37:20
the other alternatives a bone graft02:37:24
is used when I use a graft02:37:27
My goal is to win an exception, right?02:37:29
I gain bone tissue and do not gain02:37:31
a gum inserted the same thing goes02:37:34
with the monocortical block graft,02:37:37
It's for this purpose so I got one02:37:39
gum inserted my procedure here02:37:41
It is02:37:44
with the letter B gum bone graft02:37:48
free so I can get a raise02:37:50
inserted gingiva that was used02:37:54
aeronautics 2019 surgical technique02:37:58
for bag removal aimed at02:38:00
complete preservation of the mucosa strip02:38:03
keratinized are we Vector Mia02:38:06
gingivoplasty02:38:07
free gingival graft02:38:09
and Retail normally operated02:38:11
Here guys, she's asking me for02:38:13
next is him he wants to make a02:38:16
scholarship reduction but he doesn't want it02:38:17
do no tissue removal by02:38:20
account of your wife here in the matter02:38:24
account of the preservation of the mucosal band02:38:26
keratinized, so if he wants it02:38:29
preserve this keratinized mucosa I02:38:31
I have to play this retail of mine02:38:32
I have to preserve it, right?02:38:35
throw it to the apical then mine02:38:37
Right alternative here mine02:38:39
correct alternative will be the letter B02:38:41
which is an apically functioning flap02:38:43
why Because he wants it Aims at02:38:45
preserve this strip of mucosa02:38:47
keratinized02:38:50
and now let's see this plant02:38:52
gingivectomy alternatives02:38:53
Could it be personal we'll go02:38:56
disappear, no, we're going, I'm Mia, I'm going02:38:58
make us disappear I'm going to make one02:39:01
removal, right, from this bag, and then I02:39:06
I will not preserve this track02:39:09
people will want to laugh at you, I will02:39:10
remove more tissue and not in the02:39:12
preservation we see possessed could02:39:14
be not personal gingivoplasty he is the02:39:16
re Contour of our gums in absence02:39:19
of a bag, okay, I'm not the one either02:39:21
procedure here that I will inform02:39:24
complete preservation of the gingival strip02:39:27
even because he asked me he wants one02:39:29
bag reduction technique guys, I'm going02:39:31
I will not use surgery to reduce02:39:32
the stock market we will finish will reduce02:39:34
bag will just have one one one02:39:36
removal of this tissue is not the02:39:39
complete preservation the way we go02:39:41
free as we reach each other02:39:42
I'm going to use it for myself02:39:43
gain a gum inserted right through02:39:45
in a way at the moment removed from the02:39:47
palate, right? or with other techniques02:39:49
surgeries that we so much02:39:52
local flap Flap laterally or02:39:54
be a series of02:39:55
procedures that exist to do02:39:58
graft, in this case he told me about02:40:00
book that is normally taken from the02:40:02
palate but here I'm going to create a fabric and02:40:05
It's not a that's not Aims to reduce02:40:08
periodontal pocket02:40:09
And then my boy here and there tries to02:40:12
axially positioned flap02:40:16
Andthere02:40:19
the Vunesp bank issue of the Army of02:40:22
202102:40:24
and effective AND adequate brushing02:40:26
carried out is the main factor in the02:40:28
slowdown in microbial growth02:40:30
Select the alternative you present02:40:32
just vibrating brushing meters02:40:38
the alternative is uncle spot ter and buzz02:40:41
alternative B phones screen and Buzz02:40:44
attendant will be whole stillman02:40:47
Modified and Leonardo Alternative02:40:49
charters Leonardo scream what an alternative02:40:53
and had a modified top and headphones02:40:57
Hello everyone, this classification here is02:41:00
As I told you, he didn't polish it02:41:02
will write is forgiveness urinates and he will02:41:05
write the techniques, right?02:41:08
used Carlos he writes some02:41:10
but he does what we are going to come here02:41:11
that I put in the next next02:41:13
slides just for us so see our02:41:15
feedback when I only have methods02:41:17
vibrating brushing is an alternative02:41:19
Oh okay, we'll see one here02:41:23
compilation that I made from the book of02:41:24
Nilma's frown, right? And then we're already02:41:27
put it here for you, we'll be right there02:41:28
on the issue then that I talked to02:41:30
you he will characterize the types of02:41:34
brushing according to the vibrating roller02:41:37
circular movements02:41:38
vertical and horizontal02:41:40
classification So it is in the book of02:41:41
Nilma She is very specific and she he he02:41:45
classifies brushing techniques02:41:47
following roller technique way which02:41:49
These are the techniques that we do02:41:51
movement, right, he considered it a roll02:41:53
low EA stillman modified movements02:41:57
vibratory that was my issue02:41:59
that gave Dilma Charter and more02:42:02
circular movements phone technique02:42:05
that we have already seen an issue too02:42:07
vertical movements the technique of02:42:09
Leonardo and horizontal movements02:42:10
scrapbooking technique so personal make one02:42:13
print of the screen you are in our02:42:16
material but he is02:42:18
We will find this description in02:42:20
carranza's book is according to the types02:42:24
of movements as he makes until02:42:26
classification according to the type of02:42:27
movement used during brushing02:42:29
that I love coming back here to ours02:42:32
question our vibrating movements02:42:36
answer key letter A art a key 13 more02:42:38
it's true02:42:43
That's what I said there u running with02:42:46
relation to our brushings Hugo book02:42:49
Neil's mother, Carranza's mother, right?02:42:51
put There was a modified one, right?02:42:53
because we don't see it in the Indian book02:42:55
that he will just put02:42:57
Barris base had a modified are02:43:01
details but want her to have some02:43:03
differences between the bibliographies there02:43:05
our eagle is right guys02:43:07
ok then let's go02:43:11
the Vunesp 2015 panel02:43:14
the Hospital das Clínicas Faculty of02:43:16
Medicine at USP Hospital Dentistry o02:43:18
Herpes zoster clinically occurs after02:43:21
reactivation of the virus this virus causes a02:43:24
common childhood disease known as02:43:26
disable chickenpox attempt B02:43:29
herpetic gingivostomatitis02:43:31
alternatives and Measles alternative B02:43:35
pardon rubella and alternative and mumps02:43:38
Guys, our feedback here on the question02:43:41
it will be chicken pox what happens02:43:44
herpes zoster is caused by the virus02:43:46
varicella-zoster02:43:51
my cousin her infection she comes02:43:54
through chickenpox the reactivation of this02:43:57
virus we find in the form of02:43:59
Herpes zoster is more or less what02:44:02
herpetic stomatitis happens in the gum02:44:04
that he put here he put the02:44:07
forgiveness as one of the alternatives02:44:09
us herpetic gingivostomatitis02:44:12
primary caused by the hsv1 virus02:44:17
and delhi's cousin-infection is the gum02:44:20
primary herpetic stomatitis, okay?02:44:23
we have it in chickenpox or herpes02:44:26
zoster, or the varicella-zoster virus, which02:44:28
We have chickenpox and it recurs02:44:31
Hers is through cold sores02:44:35
Well then, they are both real, okay?02:44:39
in herpes zoster is the reactivation of the virus02:44:42
varicella-zoster whose primary infection is the02:44:45
chickenpox and us and we will02:44:48
primary herpetic stomatitis just for02:44:49
we force this issue to fall02:44:52
quite caused by hsv-1 which infection02:44:55
herpetic stomatitis gingiva and02:44:57
recurrence of it usually comes as02:45:00
lip herpes02:45:02
our answer key is letter a02:45:05
thechicken pox02:45:09
and the most common viral infections of02:45:12
appear in the tests, the most common is the02:45:15
we ink and technical version02:45:16
primary school, and how we have it sometimes02:45:19
oral demonstrations then the02:45:20
herpes zoster ends up appearing02:45:21
That's also why we selected02:45:23
this issue Zinho here we don't02:45:25
forget it, I'll come and do this review02:45:27
What is her first infection and what is it like?02:45:29
that it is reactivated in the form of herpes02:45:31
zoster02:45:34
the next question let's go proof of02:45:37
Vunesp 2020 Morro Agudo City Hall02:45:40
periodontist tests for specialist02:45:42
a combination of the vascular response02:45:45
induced by progesterone and effect02:45:47
estriol matrix stimulators02:45:50
contributes to the development of this02:45:52
information02:45:54
fibrogranuloma tosa02:45:56
the IP of a presentation block02:46:00
bright red hyperemic e and e02:46:02
edematous these characteristics that are02:46:05
cyst alternatives in the youth center02:46:08
B of pubertal gingivitis occurs02:46:12
localized ulcerative periodontitis of02:46:14
Berg faces granuloma or if from02:46:17
pregnancy granuloma02:46:20
the people there the alternative She already gave me02:46:23
some some things that I can02:46:24
resolve this issue without much trouble02:46:26
OK, you didn't even tell me a combination of02:46:29
vascular response induced by02:46:31
progesterone, right? He already gave me one02:46:33
important information effect and the02:46:36
stimulatory effects on the matrix of02:46:37
estradiol is in addition, he gave me02:46:40
information that the presentation is fiber02:46:42
pedunculated granulomatous fiber of02:46:45
bright red presentation02:46:47
hyperemic edematous person that we02:46:49
There's almost no doubt, right? Because he02:46:52
talked about this bright red02:46:54
in this possibility of this wireless election02:46:57
granulomatous cpd1 collar is associated02:47:00
to hormonal changes so here the02:47:02
we think is consequently ours02:47:05
pregnancy granuloma which is also called02:47:08
from granuloma02:47:09
pyogenic, it's a small issue, okay?02:47:12
characteristic that we see02:47:14
who has a progesterone issue02:47:16
hormonal change is one of one02:47:20
bright red pedunculate is that the02:47:23
We always think about a granuloma02:47:25
pyogenic or pregnancy granuloma is02:47:30
and here we go02:47:34
aeronautics 2020 clinical studies02:47:37
about the long-term effects of02:47:39
periodontitis treatment show02:47:41
clearly that maintenance care02:47:43
professional periodontal after therapy02:47:45
are integral parts of the treatment02:47:49
patient's risk of recurrence of02:47:50
periodontitis is based on the various02:47:53
clinical conditions in which several02:47:54
Associated parameters are important02:47:56
to determine the risk to the patient02:48:00
of the patient evaluates some aspects02:48:02
clinicians that may increase the risk of02:48:04
periodontitis is02:48:07
oh and there is a prevalence of bags02:48:10
residuals greater than or equal to four here02:48:13
personal is not greater than or equal to four02:48:16
here it is bigger than 4 mm, ok02:48:21
and this question she will tell me is02:48:24
It is important for us to emphasize that she02:48:25
asked the risk factors easy to play02:48:28
here for us it becomes periodontal02:48:31
patient, I could have it here too02:48:34
tooth-related risk factors02:48:36
For example, here are the risk factors02:48:38
they would change the important thing is us02:48:39
observe what our question asked02:48:41
she asked for a risk determination for02:48:44
patient's dental is correct02:48:48
OK, let's go, so we've already seen02:48:50
which is wrong here because the bag02:48:52
periodontal is too much 4mm high02:48:55
percentage of bleeding the probe is02:48:57
right, guys, if I have more02:48:59
bleeding probing the risk of my02:49:01
patient it will have increased correct02:49:03
presence of environmental factors such as02:49:05
personal cigarette consumption Definitely02:49:08
right, smoking will always increase my02:49:11
risk of periodontal disease great loss02:49:14
periodontal support in relation to02:49:16
patient age also personal02:49:17
OK, so just my alternative02:49:20
wrong is the first alternative mine02:49:23
feedback then it's Let's Alternative02:49:27
Make a brief review of these02:49:28
personal factors I put here then02:49:31
the factors related again to the02:49:33
periodontal risk of patients is02:49:35
because we can still have an evaluation02:49:37
of Dental Risk AND Risk Assessment02:49:39
on site are different things what the02:49:42
question asked me here is the risk02:49:43
patients' periodontal02:49:46
percentage of bleeding on probing02:49:48
Ah, of course, we were there in the02:49:50
our question I have one02:49:51
prevalence of residual pockets higher than02:49:53
that 4 is the error in our question there02:49:56
which was bigger I give it a loss of three02:49:59
teeth out of a total of 28 teeth i.e.02:50:01
the more lost property my risk is02:50:02
greater loss of periodontal support02:50:05
relation to the patient's age, then if he02:50:07
there is more remains he is more new risk02:50:10
him to develop greater conditions02:50:12
systemic and genetic factors and02:50:14
environmental issues like cigarette smoke, right?02:50:17
as one of the most common risk factors02:50:18
important to us for the disease02:50:20
periodontal02:50:26
the 2022 Air Force test syndromes02:50:30
this question she asked the syndrome of02:50:33
small talk is one of the most02:50:35
charged is personal in our proofs of02:50:38
periodontics that's why I put it in02:50:39
here for us02:50:41
know some some questions of her she02:50:44
has a manifestation for the dontal well02:50:45
important, that's why I brought the02:50:47
Zinho question for us to do together, okay?02:50:48
it was more for 2022 fill in correctly02:50:51
the gaps according to carranza and bye this02:50:54
personal test is just for her02:50:57
Aeronautics 2021 for the course02:50:59
now today 2022 That's right That's why02:51:02
she is here, it was us for 2022, which is for02:51:04
right, who takes the step in 2021 and Course02:51:08
2022k of 2022 correctly fill in the02:51:11
according to carranza and collaborators02:51:15
is papillon-lefevre syndrome is a02:51:18
rare hereditary disease that appears02:51:21
follow an autosomal pattern x right?02:51:23
characterized by skin lesions x severe02:51:27
destruction X in some cases02:51:28
Dural calcifications sequence02:51:31
that correctly fills in the gaps in the02:51:32
text is personal so let's go02:51:35
cardboard fever syndrome she is a02:51:37
rare hereditary disease that appears02:51:40
follow an autosomal recessive pattern02:51:42
OK, she is an autosomal recessive02:51:45
She has a da gene mutation02:51:49
correct catechesis02:51:52
hi and she causes a demonstration02:51:55
severe periodontal So here we go02:51:58
our autosomal here it is recessive and02:52:00
I'll be back we'll linaria02:52:03
in Piabetá, it is certain that remembering is a02:52:07
mutation of the fate gene02:52:10
and is characterized by skin lesions02:52:13
these injuries they will get married02:52:15
hyperkeratinization or Lipo02:52:16
keratinization they will be more and more02:52:18
keratinized is true, but it occurs02:52:20
mainly on the palms of the hands02:52:22
soles of the feet so they are injuries02:52:25
that will have a predominance02:52:26
hyperkeratotic is or hyperkeratotic02:52:29
so here I can eliminate up to02:52:31
same and alternative B now this02:52:33
periodontal destruction occurs in02:52:36
gingiva or the periodontium as a whole02:52:39
It occurs in the periodontium, right?02:52:40
is borderline it is not limited to our02:52:43
gum it occurs in the periodontium it02:52:45
runs very seriously, right?02:52:47
very serious change in the02:52:48
periodontium so just coming back here02:52:51
our template02:52:53
the letter B is one of the manifestations E02:52:57
remembering that there is more and it is one of the02:53:00
conditions that are systemic, there are more02:53:03
She hereditary has wouldn't believe that02:53:06
have more manifestations of the disease02:53:08
periodontal remembering, right? It's recessive02:53:10
It is caused by a mutation in the gene for02:53:13
catechesis, I'm not even going to write it down here for02:53:14
you because that was once the issue of02:53:18
proof02:53:19
And you are and the location is hers in02:53:22
chromosome02:53:27
There are 11 to 14 main manifestations02:53:31
so that it ended in the palm of your hands02:53:34
and soles of the feet or all three together and02:53:37
besides we have periodontitis02:53:38
aggressive, very prevalent, none in02:53:41
common with there it is guys She is not a02:53:44
syndrome that we see is not a disease02:53:47
hereditary with greater change there for02:53:49
one of the biggest changes for us02:53:51
It's not uncommon maybe the other one falls here02:53:54
papillon-lefevre syndrome02:54:00
the air Alaska 2021 let's see here the02:54:03
respect for the lymphatic system of the02:54:05
periodontium, it is incorrect to state that02:54:10
with the palatal gingiva of the maxilla Drains02:54:13
to the deep cervical lymph nodes02:54:15
He asked me here for the incorrect one he gave me02:54:19
saying that the palatine of the maxilla goes02:54:20
drain into the cervical lymph nodes02:54:22
deep correct correct the staff a02:54:26
we go to the palate of the maxilla, it goes02:54:28
drain through the cervical lymph nodes02:54:29
deep entrance exams for third parties02:54:32
lower molars it is drained by the02:54:34
jugulodigastric lymph nodes02:54:36
sure the third party entrance exam02:54:38
lower molars it will occur02:54:40
drainage is from it through the lymph nodes of the02:54:42
gas club correct the entrance exam and02:54:46
lingual of lower incisors02:54:48
drain for submandibular lymph nodes02:54:51
Guys, this way of cheating is not02:54:54
speaking of the vestibular and lingual02:54:56
incisors right so this is02:54:59
submental drain02:55:05
That's why the native plant is wrong02:55:07
OK, she is of no use to the crimes of02:55:09
to fly02:55:10
now the buccal aspect of the maxilla and the time02:55:13
the time is in the language of the region02:55:14
lower premolars will drain the02:55:17
lymph nodes02:55:19
correct submandibular our template02:55:22
so lyrics and brought here a slide for02:55:25
we do a review sometimes02:55:28
issues of this type occur02:55:30
remembering anatomy this part anatomy02:55:33
very charged tries macro anatomy02:55:35
how much microscopic anatomy drainage02:55:37
irrigation So these are matters that02:55:39
are normally charged on all02:55:41
types of proof, I personally brought it02:55:44
this side here so we can make a02:55:45
review that is important I have already seen02:55:48
some questions are about drainage02:55:49
lymphatic system and we will do a02:55:53
little review here it is So let's go02:55:55
vestibular and lingual which was our02:55:57
life mistake that are from the region of02:55:59
Breno lower incisors for the02:56:01
submental02:56:04
Today we are going to talk about the maxilla and02:56:07
drained into the cervical lymph nodes02:56:08
deep to the buccal gingiva of the maxilla02:56:12
and the buccal and lingual gums of the02:56:14
region of premolars drain to the02:56:16
submandibular lymph nodes right here02:56:19
folks, that's right, with the exception of02:56:21
third molars and lower incisors02:56:22
by those who have seen third molars02:56:25
jugulodigastrics here02:56:33
the gastric cycle and the incisors02:56:35
lower submental02:56:39
and with the exception of these two here guys02:56:41
of all third molars and incisors02:56:44
the teeth with their periodontal tissues02:56:45
will drain through the lymph nodes02:56:47
submandibular02:56:49
and here the inferiors, right because their02:56:52
schedules so the cat game stays the same02:56:53
lower submental incisors to02:56:58
the 2015 Air Force test the fruit02:57:02
from the South collar that we enter the part02:57:03
of pathogenesis, which is a very02:57:06
staff also charged for the fruit of the juice02:57:08
there contains a wide range of factors02:57:09
biochemicals02:57:11
offering potential use as markers02:57:14
diagnoses or prognoses of the state02:57:16
biological function of the periodontium on the fluid02:57:17
gingival mark the incorrect alternative02:57:22
and the bottom we will own02:57:24
antimicrobial properties02:57:26
has antimicrobial properties02:57:28
straight folks He's got a flow02:57:31
decreased during inflammation during02:57:33
inflammation the flow of personal fluid he02:57:36
is increased, so our error02:57:38
The point here is to say that he is02:57:40
diminished he is not diminished he02:57:42
increases during inflammation02:57:44
and it contains plasma proteins that02:57:47
can increase the adhesion of the epithelium02:57:49
right tooth02:57:51
contains connective tissue component02:57:54
epithelium inflammatory cells serum and02:57:56
microbiota residing in the juice margin or02:57:59
periodontal pocket right guys02:58:01
our template is then the one that the letter B02:58:03
Just remembering why she's wrong02:58:05
because during an inflammation I have02:58:07
an increase in my flow is flowDescription:
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